Active NPI
Sheila H Gardner, PH.D.
- Counseling Psychologist
- Durham, NH
National Provider Identifier
1992960744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 995
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 995 | NH | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheila H. Gardner, PHD, LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.