Active NPI
James Carl Gardiner, PHD
- Clinical Psychologist
- Rapid City, SD
National Provider Identifier
1861584385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 232
- Practice address
- 1480 Edinborough Dr
Rapid City, SD 57702-8721 - Phone
- (605) 399-9950
- Fax
- (605) 399-9950
- NPI assigned
- Sep 29, 2006
- Last updated
- Apr 4, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 232 | SD | Primary |
| Clinical Psychologist | 103TC0700X | 112299 | UT |
Addresses
Primary practice location
1480 Edinborough Dr
Rapid City, SD 57702-8721
Mailing address
1480 Edinborough Dr
Rapid City, SD 57702-8721
Phone (605) 399-9950
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112299 | UT | MD | Clinical Psychologist |
| 232 | SD | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301875200000",
"number": "1861584385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 EDINBOROUGH DR",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577028721",
"telephone_number": "605-399-9950",
"fax_number": "605-399-9950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1480 EDINBOROUGH DR",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577028721",
"telephone_number": "605-399-9950",
"fax_number": "605-399-9950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDINER",
"first_name": "JAMES",
"middle_name": "CARL",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2011-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SD",
"license": "232",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "UT",
"license": "112299",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.