NPIMap

Organization Active NPI

Sheila H. Gardner, PHD, LLC

  • Psychologist
  • Durham, NH
National Provider Identifier
1639437387
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
995 Issued in NH
Legal business name
SHEILA H. GARDNER, PHD, LLC
Practice address
8 Jenkins CT
Suite 405
Durham, NH 03824-2323
Phone
(603) 508-0309
Fax
(603) 509-9585
NPI assigned
May 1, 2012
Last updated
May 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Dr. Sheila H. Gardner, PHDNPI 1992960744
Title
Owner/Psychologist
Phone
(603) 508-0309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 995 NH Primary

Addresses

Primary practice location

8 Jenkins CT
Suite 405
Durham, NH 03824-2323

Mailing address

8 Jenkins CT
Suite 405
Durham, NH 03824-2323
Phone (603) 508-0309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120703000009 NH Part B Supplier - Clinic/Group Practice 9739344433 Receives reassigned benefits from 1 practitioner
Practice locations: Durham, NH

National Provider Directory

National Provider Directory

Locations

20 Madbury Rd
Durham, NH 03824
Phone (603) 508-0309

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1639437387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 JENKINS CT",
            "address_2": "SUITE 405",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "038242323",
            "telephone_number": "603-508-0309",
            "fax_number": "603-509-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 JENKINS CT",
            "address_2": "SUITE 405",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "038242323",
            "telephone_number": "603-508-0309",
            "fax_number": "603-509-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEILA H. GARDNER, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "603-508-0309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NH",
            "license": "995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.