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MS. EUNICE GRACE GARDNER PH.D. NPI 1003128265


NPI Information

NPI: 1003128265
Provider Name: MS. EUNICE GRACE GARDNER, PH.D.
Classification: Psychologist - 103TA0700X
Entity Type: Individual

Specialization: Adult Development & Aging

PECOS Registration: Yes

Address:
777 HOSPITAL WAY
POCATELLO, ID
ZIP 83201
Phone: (208) 239-1710
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MS. Eunice Grace Gardner, PH.D. is an adult development and aging psychologist in Pocatello, ID. The provider is a psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care. MS. Eunice Grace Gardner, PH.D. NPI is 1003128265. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

777 HOSPITAL WAY
POCATELLO, ID
ZIP 83201-175
Phone: (208) 239-1710

The NPI 1003128265 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 45 minutes with patient and/or family member (HCPCS:90834)
  • Psychiatric diagnostic evaluation (HCPCS:90791)
  • Neuropsychological testing, interpretation, and report by psychologist or physician per hour (HCPCS:96118)

The enumeration date for this NPI number is 7/5/2010 and was last updated on 10/24/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TB0200XPsychologistCognitive & BehavioralNo
2103T00000XPsychologistNo
3103TA0700XPsychologistAdult Development & AgingYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.