JACQUELYN L. GARDNER
NPI 1699172080
Psychologist - Clinical in San Francisco,, CA

Q: What is Jacquelyn Gardner's NPI number?

The NPI number for Jacquelyn Gardner is 1699172080. It was assigned to this individual provider in the NPPES registry on December 1, 2014.

Q: What is Jacquelyn Gardner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jacquelyn Gardner was last updated on December 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 01, 2014

1947 DIVISADERO ST., STE. 2, SAN FRANCISCO,, CA 94115(415) 441-4350(415) 614-1760 Get Directions Write a Review

NPPES record last updated: December 1, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacquelyn L. Gardner NPPES

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

JACQUELYN L. GARDNER (NPI 1699172080) is an individual clinical provider in San Francisco,, California, licensed in California (PSY7469) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1699172080

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJACQUELYN L. GARDNER

Location Address1947 DIVISADERO ST., STE. 2San Francisco,, CA 94115

Mailing Address1947 Divisadero St., Suite 2San Francisco, C, CA 94115 · (415) 441-4350 · Fax (415) 614-1760

Phone(415) 441-4350

Fax(415) 614-1760

Sole ProprietorYes

Enumeration DateDecember 1, 2014

✔ NPI 1699172080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY7469

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1947 DIVISADERO ST., San Francisco,, CA 94115

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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 Jacquelyn Gardner's NPI number?

The NPI number for Jacquelyn Gardner is 1699172080. It was assigned to this individual provider in the NPPES registry on December 1, 2014.

Where is Jacquelyn Gardner located?

Jacquelyn Gardner practices at 1947 Divisadero St. Ste. 2, San Francisco,, CA 94115. The listed phone number is (415) 441-4350.

What is Jacquelyn Gardner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Gardner was last updated on December 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.