MICHAEL J GARDNER PHD
NPI 1295711109
Psychologist in Butler, MO

Active since December 22, 2005
805 N ORANGE ST, BUTLER, MO 64730(888) 403-1071 Get Directions Write a Review

NPPES record last updated: May 25, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 25, 2018, May 1, 2018 (2 updates tracked since 2018).

About Michael J Gardner Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL J GARDNER PHD (NPI 1295711109) is an individual psychologist in Butler, Missouri, licensed in Missouri (01101) and active in the NPI registry since December 2005. He maintains a secondary practice location in Clinton.

NPPES Registry Identity

NPI1295711109
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMICHAEL J GARDNERCredential: PHD
Location Address805 N ORANGE STButler, MO 64730
Mailing Address1800 CommunityClinton, MO 64735-8804 · (660) 885-8131
Sole ProprietorNo
Enumeration DateDecember 22, 2005
Last NPPES UpdateMay 25, 20182 updates tracked since enumeration
NPI 1295711109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MO · 01101
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

805 N ORANGE ST, Butler, MO 64730

Secondary Practice Location 1

Location 11800 CommunityClinton, MO 64735-8804 · Phone (888) 403-1071

Other Identifiers 1

Medicaid493346001MO

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
805 N ORANGE ST
BUTLER, MO 64730
Social Worker
805 N ORANGE ST
BUTLER, MO 64730
Social Worker (Clinical)
805 N ORANGE ST
BUTLER, MO 64730
Social Worker
805 N ORANGE ST
BUTLER, MO 64730
Counselor (Mental Health)
805 N ORANGE ST
BUTLER, MO 64730
Counselor (Professional)
805 N ORANGE ST
BUTLER, MO 64730
Social Worker
805 N ORANGE ST
BUTLER, MO 64730
Nurse Practitioner (Family)
805 N ORANGE ST
BUTLER, MO 64730

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Gardner's NPI number?

The NPI number for Michael Gardner is 1295711109. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Michael Gardner located?

Michael Gardner practices at 805 N Orange St, Butler, MO 64730. The listed phone number is (888) 403-1071.

What is Michael Gardner's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Michael Gardner was last updated on May 25, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.