KENNETH EDWARD GARDNER PSYCHOLOGIST
NPI 1821559576
Psychologist - Clinical in Farmington Hills, MI

Q: What is Kenneth Gardner's NPI number?

The NPI number for Kenneth Gardner is 1821559576. It was assigned to this individual provider in the NPPES registry on March 26, 2019. The provider is also known as Mr. Kenneth Edward Gardner Psychologist.

Q: What is Kenneth 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 Kenneth Gardner was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 26, 2019

30665 NORTHWESTERN HWY STE 255, FARMINGTON HILLS, MI 48334(248) 802-7713 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2023, Jul 21, 2023, Sep 26, 2021 (3 updates tracked since 2021).

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About Kenneth Edward Gardner Psychologist NPPES

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

KENNETH EDWARD GARDNER PSYCHOLOGIST (NPI 1821559576) is an individual clinical provider in Farmington Hills, Michigan, licensed in Michigan (6361007852) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1821559576

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameKENNETH EDWARD GARDNERCredential: PSYCHOLOGIST

Location Address30665 NORTHWESTERN HWY STE 255Farmington Hills, MI 48334-3144

Mailing Address30665 Northwestern Hwy Ste 255Farmington Hills, MI 48334-3144 · (248) 802-7713

Phone(248) 802-7713

Sole ProprietorYes

Enumeration DateMarch 26, 2019

Last NPPES UpdateAugust 7, 20233 updates tracked since enumeration

NPPES CertifiedAugust 7, 2023

✔ NPI 1821559576 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 · 6361007852

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.

30665 NORTHWESTERN HWY STE 255, Farmington Hills, MI 48334

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Other Names 1

Professional Name (2)Mr. Kenneth Edward Gardner Psychologist

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 11

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

VALERIE TIMKO PC

Psychologist (Clinical)