Individual provider Active NPI

Sheila H Gardner, PH.D.

  • Counseling Psychologist
  • Durham, NH
National Provider Identifier
1992960744
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
995 Issued in NH
Practice address
20 Madbury Rd
Durham, NH 03824-2023
Phone
(603) 508-0309
Fax
(603) 509-9585
NPI assigned
Jul 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 995 NH Primary

Addresses

Primary practice location

20 Madbury Rd
Durham, NH 03824-2023

Mailing address

20 Madbury Rd
Durham, NH 03824-2023
Phone (603) 508-0309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20101218000060 NH Practitioner - Clinical Psychologist 1456549336 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

Practice addresses (Care Compare)

20 Madbury Rd
Durham, NH 03824-2023
Phone (603) 508-0309

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
995NHMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheila H. Gardner, PHD, LLC CurrentSince Apr 9, 2012 Accepting new patients

Locations

20 Madbury Rd
Durham, NH 03824
Phone (603) 508-0309

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.

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1992960744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MADBURY RD",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "038242023",
            "telephone_number": "603-508-0309",
            "fax_number": "603-509-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MADBURY RD",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "038242023",
            "telephone_number": "603-508-0309",
            "fax_number": "603-509-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "SHEILA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NH",
            "license": "995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NH

Sources for this page

Verify at the official NPI Registry.