Active NPI
Sarah Gardner, PSYD, NCC
- Clinical Psychologist
- Laurel, MD
National Provider Identifier
1891151635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 06657
- Practice address
- 14440 Cherry Lane CT Ste 208
Laurel, MD 20707-4946 - Phone
- (301) 604-1458
- NPI assigned
- Jan 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP6534 | MD | |
| Professional Counselor | 101YP2500X | LC8527 | MD | |
| Clinical Psychologist | 103TC0700X | 06657 | MD | Primary |
Addresses
Primary practice location
14440 Cherry Lane CT Ste 208
Laurel, MD 20707-4946
Mailing address
25 Observation CT Apt 103
Germantown, MD 20876-6416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
12410 Milestone Ctr Dr
Suite 600
Germantown, MD 20876-7102
Phone (614) 465-6718
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP6534 | MD | MD | Mental Health Counselor |
| LC8527 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Neuropsychological Services, LLC | Current | Accepting new patients |
Locations
12410 Milestone Center Dr
Ste 600
Germantown, MD 20876
Phone (301) 307-5335
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Germantown, MD
- NPI 1275386179
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1891151635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 OBSERVATION CT APT 103",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208766416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14440 CHERRY LANE CT STE 208",
"city": "LAUREL",
"state": "MD",
"postal_code": "207074946",
"telephone_number": "301-604-1458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "SARAH",
"name_prefix": "Dr.",
"credential": "PSYD, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-09",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LGP6534",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC8527",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "06657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.