Gardner Psychological Associates, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

GARDNER PSYCHOLOGICAL ASSOCIATES, INC.

Practice address

203 N Wabash Ave
Suite 1805
Chicago, IL 60601-2406

Phone

(312) 372-3322

NPI assigned

Nov 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mary Kennedy Gardner, PSY.D.NPI 1578721817

Title

Clinical Psychologist

Phone

(312) 372-3322

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Mary Gardner, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1578721817
  NPD (past) Authorized official

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770654816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N WABASH AVE",
            "address_2": "SUITE 1805",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606012406",
            "telephone_number": "312-372-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N WABASH AVE",
            "address_2": "SUITE 1805",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606012406",
            "telephone_number": "312-372-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER PSYCHOLOGICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KENNEDY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-372-3322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gardenia Dental II LLC
• Jessica Glenn Gardiner, M.D.
• John Gardiner, LCPC
• Lynnquell Gardiner
• Mariel Gardiner, LCPC
• Ashley Gardner
• Benjamin J Gardner, PT, DPT
• Brandon Barnett Gardner, MD, PHD
• Brittany Gardner
• Christi L Gardner, LCSW, CADC

• Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.