Harry Ravon Gardner II, MSW LLP PHD

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Practice address

625 N Orange St
Wilmington, DE 19801-2296

Phone

(302) 656-4044

Fax

(302) 656-3439

NPI assigned

Nov 5, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1790965069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N ORANGE ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198012296",
            "telephone_number": "302-656-4044",
            "fax_number": "302-656-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N ORANGE ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198012296",
            "telephone_number": "302-656-4044",
            "fax_number": "302-656-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "HARRY",
        "middle_name": "RAVON",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MSW LLP PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103TP2701X",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Garcia, MD
• Erin Kylene Gardiner, MSN, ACNP-BC
• Ann Marie Gardner, M.S. CCC-SLP
• Bradley William Gardner, O.D.
• Brian Gardner
• Kathleen Gareth, NP
• Manish Garg, M.D.
• Shilpa Garg, MD
• Sharon Gargula
• Mallory Leigh Garnett, PHD

• Group Psychotherapy Psychologist in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Group Psychotherapy Psychologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.