Individual provider Active NPI

Stephanie Jean Wingate-Gardner, PH.D.

  • Clinical Psychologist
  • Elkins Park, PA
National Provider Identifier
1881890762
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS009291L Issued in PA
Practice address
60 Township Line Rd
Mossrehab Einstein at Elkins Park
Elkins Park, PA 19027-2220
Phone
(215) 663-6649
Fax
(215) 663-6989
NPI assigned
Jun 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PS009291L PA
Clinical Psychologist 103TC0700X PS009291L PA Primary

Addresses

Primary practice location

60 Township Line Rd
Mossrehab Einstein at Elkins Park
Elkins Park, PA 19027-2220

Mailing address

2938 Berkley Rd
Ardmore, PA 19003-1805
Phone (610) 896-0774

Other names 1

  • Dr. Stephanie Jean Wingate Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040706000120 PA Practitioner - Clinical Psychologist 3678550944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1999 Sproul Rd
Suite 23
Broomall, PA 19008-3557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Psychological PC CurrentSince Apr 20, 2021 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Sep 9, 2024 Accepting new patients
Hopewell Psychology LLC CurrentSince Jun 26, 2026 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Sep 9, 2024 Accepting new patients

Locations

1999 Sproul Rd
Ste 23
Broomall, PA 19008
Phone (484) 731-0000

1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144

7 Neshaminy Interplex Dr
Ste 411
Trevose, PA 19053

7 Neshaminy Interplex Dr
Trevose, PA 19053

770 E Market St
Ste 135
West Chester, PA 19382
Phone (484) 919-5889

560 Van Reed Rd
Ste 301
Wyomissing, PA 19610
Phone (610) 378-9601

Interoperability endpoints

  • Direct secure messaging: stephanie.wingate-gardner.1@28623.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1881890762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2938 BERKLEY RD",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190031805",
            "telephone_number": "610-896-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 TOWNSHIP LINE RD",
            "address_2": "MOSSREHAB EINSTEIN AT ELKINS PARK",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272220",
            "telephone_number": "215-663-6649",
            "fax_number": "215-663-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGATE-GARDNER",
        "first_name": "STEPHANIE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS009291L",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS009291L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "WINGATE",
            "middle_name": "JEAN",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elkins Park, PA

Sources for this page

Verify at the official NPI Registry.