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JERALD ROBERT GARDNER PHD
NPI 1861966079
Psychologist - Clinical in New York, NY

Active since January 22, 2019PECOS Enrolled
10 NATHAN D PERLMAN PL FL 2, NEW YORK, NY 10003(212) 420-2170 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 1, 2023, Jan 22, 2019 (2 updates tracked since 2019).

About Jerald Robert Gardner Phd NPPES

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

JERALD ROBERT GARDNER PHD (NPI 1861966079) is an individual clinical provider in New York, New York, licensed in New York (023092) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861966079
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJERALD ROBERT GARDNERCredential: PHD
Location Address10 NATHAN D PERLMAN PL FL 2New York, NY 10003-3851
Mailing Address10 Nathan D Perlman PlNew York, NY 10003-3841
Phone(212) 420-2170
Sole ProprietorYes
Enumeration DateJanuary 22, 2019
Last NPPES UpdateJune 1, 20232 updates tracked since enumeration
NPPES CertifiedJune 1, 2023
✔ NPI 1861966079 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 NY · 023092
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.
10 NATHAN D PERLMAN PL FL 2, New York, NY 10003
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerald Robert Gardner Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jerald Gardner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Icahn School Of Medicine At Mount Sinai
4.5 mi
Addiction Medicine
1425 MADISON AVE
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 385 clinicians in this Medicare group
NPI 1033482518 (212) 987-3100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. OMAYRA ORTIZ M.D.
Psychiatry & Neurology (Psychiatry)
10 NATHAN D PERLMAN PL FL 2, ROOM #14
NEW YORK, NY 10003
New York County (212) 844-1912
DR. NIKHIL RAVINDRANATH TONDEHAL MD
Student in an Organized Health Care Education/Training Program
10 NATHAN D PERLMAN PL FL 2
NEW YORK, NY 10003
New York County (212) 844-1442
JEREMY YING MD, MS
Psychiatry & Neurology (Psychiatry)
10 NATHAN D PERLMAN PL FL 2
NEW YORK, NY 10003
New York County (212) 420-2400

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 Jerald Gardner's NPI number?

The NPI number for Jerald Gardner is 1861966079. It was assigned to this individual provider in the NPPES registry on January 22, 2019.

Where is Jerald Gardner located?

Jerald Gardner practices at 10 Nathan D Perlman Pl Fl 2, New York, NY 10003. The listed phone number is (212) 420-2170.

What is Jerald Gardner's specialty?

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

Is Jerald Gardner enrolled in Medicare?

Yes. Jerald Gardner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jerald Gardner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerald Gardner reassigns Medicare benefits to Icahn School Of Medicine At Mount Sinai (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerald Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jerald Gardner was last updated on June 1, 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.