Eric J. Gardner, PSY. D.
NPI 1861688269ActiveIndividual· Psychologist, Clinical· Gallup, NM
Psychologist, Clinical (PSY. D.) in Gallup, New Mexico, licensed in CA, with an NPI issued in September 2007. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1861688269 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY. D. |
| Sole proprietor | No |
| NPI issued | Sep 19, 2007 |
| Last updated in NPPES | Aug 9, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 24300 | CA |
| Psychologist | 103T00000X | PSY24300 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X | PSB33057 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|
Other Psychologist, Clinical providers in Gallup
- 1356604854
- 1578862504