Active NPI
Charles Sperry Gardner
- Psychiatry Physician
- Greenwich, CT
National Provider Identifier
1992010227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 027099
- Practice address
- 409 Field Point Rd
Greenwich, CT 06830-7041 - Phone
- (203) 869-7269
- NPI assigned
- Aug 11, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 027099 | CT | Primary |
Addresses
Primary practice location
409 Field Point Rd
Greenwich, CT 06830-7041
Mailing address
409 Field Point Road
Greenwich, CT 06830
Phone (203) 869-7269
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 27, 2017 through Mar 27, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027099 | CT | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1992010227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 FIELD POINT ROAD",
"city": "GREENWICH",
"state": "CT",
"postal_code": "06830",
"telephone_number": "203-869-7269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 FIELD POINT RD",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068307041",
"telephone_number": "203-869-7269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "CHARLES",
"middle_name": "SPERRY",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-11",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "027099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.