Jeffrey Gardere

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

009164-1 Issued in NY

Practice address

154 W 127TH St
New York, NY 10027-3722

Phone

(212) 749-3507

Fax

(212) 666-1679

NPI assigned

Jun 4, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Geriatric Psychological Services PC

  • Psychologist
  • Forest Hills, NY
  • NPI 1124063664
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1629237771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 W 127TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100273722",
            "telephone_number": "212-749-3507",
            "fax_number": "212-666-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 W 127TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100273722",
            "telephone_number": "212-749-3507",
            "fax_number": "212-666-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDERE",
        "first_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "009164-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Dianne Garden, MD
• Heart Gardener
• Gardenia Counseling Services, LCSW, PLLC
• Cara A Gardenswartz, PHD
• Mark H Gardenswartz, M.D.
• Margot Gardin, MD
• David Gardiner, DPT
• Myrtho Waylon Gardiner, LCSW-R
• Maria Gardini
• Eugene Joseph Gardino, LCSW

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.