Active NPI
Curtis Mahan Garner, EDD
- Psychologist
- Nampa, ID
National Provider Identifier
1689158776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY203043
- Practice address
- 809 Astor Ave
Nampa, ID 83651-6516 - Phone
- (208) 407-4140
- NPI assigned
- Sep 24, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY203043 | ID | Primary |
| Professional Counselor | 101YP2500X | LCPC3816 | ID |
Addresses
Primary practice location
809 Astor Ave
Nampa, ID 83651-6516
Mailing address
809 Astor Ave
Nampa, ID 83651-6516
Phone (208) 407-4140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC3816 | ID | MD | Professional Counselor |
| PSY203043 | ID | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1689158776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 ASTOR AVE",
"city": "NAMPA",
"state": "ID",
"postal_code": "836516516",
"telephone_number": "208-407-4140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 ASTOR AVE",
"city": "NAMPA",
"state": "ID",
"postal_code": "836516516",
"telephone_number": "208-407-4140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARNER",
"first_name": "CURTIS",
"middle_name": "MAHAN",
"name_prefix": "Dr.",
"credential": "EDD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-24",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ID",
"license": "PSY203043",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LCPC3816",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.