DR. JUDITH GARDNER PH.D.
NPI 1578955092
Psychologist - Intellectual and Developmental Disabilities in Staten Island, NY

NPI Status: Active since February 19, 2015

Contact Information

1050 FOREST HILL RD
STATEN ISLAND, NY
ZIP 10314
Phone: (347) 752-0586

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  • Individual
  • Female
  • Psychologist
  • Intellectual and Developmental Disabilit...

About JUDITH GARDNER

This page provides the complete NPI Profile along with additional information for Judith Gardner, a provider established in Staten Island, New York with a medical specialization in Psychologist, focusing in intellectual and developmental disabilities . The healthcare provider is registered in the NPI registry with number 1578955092 assigned on February 2015. The practitioner's primary taxonomy code is 103TM1800X with license number 008570-1 (NY). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1578955092
Provider Name
DR. JUDITH GARDNER PH.D.
Gender
Female
Entity Type
Individual
Location Address
1050 FOREST HILL RD STATEN ISLAND, NY 10314
Location Phone
(347) 752-0586
Mailing Address
292 EDINBORO RD STATEN ISLAND, NY 10306
Mailing Phone
(347) 752-0586
Is Sole Proprietor?
Yes
Enumeration Date
02-19-2015
Last Update Date
02-19-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Intellectual and Developmental Disabilities

Taxonomy Code
103TM1800X
Type
Behavioral Health & Social Service Providers
License No.
008570-1
License State
NY

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TB0200XBehavioral Health & Social Service Providers

Psychologist
Cognitive & Behavioral

008570-1 (NY)
2103TC2200XBehavioral Health & Social Service Providers

Psychologist
Clinical Child & Adolescent

008570-1 (NY)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1578955092
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2514818510018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 1 + 8 + 5 + 1 + 0 + 0 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1578955092 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1285696765 SETH A ADELMAN M.D.
Individual
Psychiatry & Neurology (Neurology)1050 FOREST HILL RD GEORGE JERVIS CLINIC
STATEN ISLAND, NY 10314
(718) 494-5180
1891758744 RICARDO E MADRID MD
Individual
Psychiatry & Neurology (Neurology)1050 FOREST HILL RD NYS INSTITUTE FOR BASIC RESEARCH
STATEN ISLAND, NY 10314
(718) 494-5141
1518921956 WILLIAM TED BROWN MD, PHD
Individual
Medical Genetics (Clinical Genetics (M.D.))1050 FOREST HILL RD NYS INSTITUTE FOR BASIC RESEARCH
STATEN ISLAND, NY 10314
(718) 494-5117
1023112513 IRA L COHEN
Individual
Psychologist (Clinical)1050 FOREST HILL RD
STATEN ISLAND, NY 10314
(718) 494-5181
1740385285 WILLIAM M KOROSH PH.D.
Individual
Psychologist (Clinical)1050 FOREST HILL RD
STATEN ISLAND, NY 10314
(718) 494-5280
1356446553DR. JOHN A TSIOURIS MD
Individual
Psychiatry & Neurology (Psychiatry)1050 FOREST HILL RD
STATEN ISLAND, NY 10314
(718) 494-5237
1336245836 VICKI SUDHALTER PH.D.
Individual
Psychologist (Clinical)1050 FOREST HILL RD
STATEN ISLAND, NY 10314
(718) 494-5182
1962579235STATE OF NEW YORK
Organization
Clinical Medical Laboratory1050 FOREST HILL RD
STATEN ISLAND, NY 10314
(718) 494-5345
1831259878 KYOUNG JA MOON M.D.
Individual
Anesthesiology1050 FOREST HILL RD
STATEN ISLAND, NY 10314
(718) 494-5312
1487791158MRS. KATHLEEN JORDAN RN
Individual
Registered Nurse1050 FOREST HILL RD
STATEN ISLAND, NY 10314
(718) 494-4876
1689711350MRS. MAUREEN GAVIN RN
Individual
Registered Nurse1050 FOREST HILL RD
STATEN ISLAND, NY 10314
(718) 494-5123
1699812370MRS. SOUNG OK YU RN
Individual
Registered Nurse1050 FOREST HILL RD
STATEN ISLAND, NY 10314
(718) 494-5123
1205973906 KAREN B AMBLE LMSW
Individual
Social Worker (Clinical)1050 FOREST HILL RD
STATEN ISLAND, NY 10314
(718) 494-5126
1285831032 NANCY ZELLERS MS
Individual
Genetic Counselor, MS1050 FOREST HILL RD
STATEN ISLAND, NY 10314
(718) 494-5369
1366696437 MARIPAZ GONZALEZ M.D.
Individual
Pediatrics1050 FOREST HILL RD
STATEN ISLAND, NY 10314
(718) 494-4885
1891921953DR. CHARLES S HOLBURN PH.D. BCBA-D
Individual
Behavior Analyst1050 FOREST HILL RD
STATEN ISLAND, NY 10314
(718) 494-5338
1255647319INSTITTUE FOR BASIC RESEARCH (NYS OPWDD)
Organization
Early Intervention Provider Agency1050 FOREST HILL RD
STATEN ISLAND, NY 10314
(718) 494-5117
1326347600DR. DARLYNNE ADA DEVENNY PHD
Individual
Speech-Language Pathologist1050 FOREST HILL RD
STATEN ISLAND, NY 10314
(718) 494-5325
1407101389 ANNE GORDON MS.ED.
Individual
Specialist1050 FOREST HILL RD
STATEN ISLAND, NY 10314
(718) 494-5122
1477891125MISS MOLLY FRANCES WOOD M.S.
Individual
Genetic Counselor, MS1050 FOREST HILL RD
STATEN ISLAND, NY 10314
(718) 494-5151

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578955092, enumerated in the NPI registry as an "individual" on February 19, 2015

The provider is located at 1050 Forest Hill Rd Staten Island, Ny 10314 and the phone number is (347) 752-0586

The provider's speciality is Psychologist with taxonomy code 103TM1800X with a focus in Intellectual and Developmental Disabilities

This NPI record was last updated on February 19, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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