DR. THEODORE GARDNER PH.D.
NPI 1851649461
Psychologist - Clinical in Twin Falls, ID

Q: What is Theodore Gardner's NPI number?

The NPI number for Theodore Gardner is 1851649461. It was assigned to this individual provider in the NPPES registry on August 29, 2012.

Q: What is Theodore 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 Theodore Gardner was last updated on August 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 August 29, 2012

401 GOODING ST N, STE 105, TWIN FALLS, ID 83301(208) 320-7525(208) 904-0644 Get Directions Write a Review

NPPES record last updated: August 17, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Theodore Gardner Ph.d. NPPES

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

DR. THEODORE GARDNER PH.D. (NPI 1851649461) is an individual clinical provider in Twin Falls, Idaho, licensed in Idaho (PSY-202709) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1851649461

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. THEODORE GARDNERCredential: PH.D.

Location Address401 GOODING ST N, STE 105Twin Falls, ID 83301-6177

Mailing AddressPo Box 231396Montgomery, AL 36123-1396 · (334) 213-8803 · Fax (334) 213-8815

Phone(208) 320-7525

Fax(208) 904-0644

Sole ProprietorNo

Enumeration DateAugust 29, 2012

Last NPPES UpdateAugust 17, 2017

✔ NPI 1851649461 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 ID · PSY-202709

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.

401 GOODING ST N, Twin Falls, ID 83301

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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 Theodore Gardner's NPI number?

The NPI number for Theodore Gardner is 1851649461. It was assigned to this individual provider in the NPPES registry on August 29, 2012.

Where is Theodore Gardner located?

Theodore Gardner practices at 401 Gooding St N Ste 105, Twin Falls, ID 83301. The listed phone number is (208) 320-7525.

What is Theodore 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 Theodore Gardner was last updated on August 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.