JESSICA GARDINER
NPI 1790652394
Psychologist - Clinical in Northville, MI

Active since October 20, 2025
21800 HAGGERTY RD STE 207, NORTHVILLE, MI 48167(248) 939-4021 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Gardiner NPPES

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

JESSICA GARDINER (NPI 1790652394) is an individual clinical provider in Northville, Michigan, licensed in Michigan (6361008121) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1790652394
Entity TypeIndividual
Primary Taxonomy103TC0700X
Provider Legal NameJESSICA GARDINER
Location Address21800 HAGGERTY RD STE 207Northville, MI 48167-8981
Mailing Address19376 Silver Spring Dr Apt 203Northville, MI 48167-2569
Sole ProprietorYes
Enumeration DateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
NPI 1790652394 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 MI · 6361008121
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.
21800 HAGGERTY RD STE 207, Northville, MI 48167

Other Providers at the Same Location NPPES 4

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

Psychologist (Clinical)
21800 HAGGERTY RD STE 207
NORTHVILLE, MI 48167
Counselor (Mental Health)
21800 HAGGERTY RD STE 207
NORTHVILLE, MI 48167
Psychologist (Clinical)
21800 HAGGERTY RD STE 207
NORTHVILLE, MI 48167
Social Worker
21800 HAGGERTY RD STE 207
NORTHVILLE, MI 48167

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 Jessica Gardiner's NPI number?

The NPI number for Jessica Gardiner is 1790652394. It was assigned to this individual provider in the NPPES registry on October 20, 2025.

Where is Jessica Gardiner located?

Jessica Gardiner practices at 21800 Haggerty Rd Ste 207, Northville, MI 48167. The listed phone number is (248) 939-4021.

What is Jessica Gardiner'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 Jessica Gardiner was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.