Judith Dodrill Gardner, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

013420 Issued in ME

Practice address

225 Commercial St
Suite 403
Portland, ME 04101-4613

Phone

(207) 780-8148

Fax

(207) 780-1121

NPI assigned

May 29, 2008

Last updated

May 29, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1750549499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 COMMERCIAL ST",
            "address_2": "SUITE 403",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014613",
            "telephone_number": "207-780-8148",
            "fax_number": "207-780-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 COMMERCIAL ST",
            "address_2": "SUITE 403",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014613",
            "telephone_number": "207-780-8148",
            "fax_number": "207-780-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "JUDITH",
        "middle_name": "DODRILL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "013420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maite Urriza Garcia, LMFT
• Joseph Gardiner
• David Gardner
• Florence C Gardner, LCPC
• Genevieve Gardner, LCSW
• Margaret McHale Garfield, AU.D.
• Emily-Anne Garland, LCPC
• Katherine Garlo, MD
• Madeleine Shaw Garmey, NP
• Kristy Rose Garneau, LMT

• Psychiatry Physician in Portland, ME
• Providers in Portland, ME by specialty
• Psychiatry Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.