NPI age
13 years
Enumerated 2012-08-29
● Active
Type 1 · Individual
DR. Theodore Gardner, PH.D.
Gardner is 1 of 10 psychologist providers in Twin Falls and 1 of 235 in Idaho.
Primary specialty
Psychologist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-08-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 235 active psychologist providers in Idaho.
NPI age
13 years
↓ 4 yr below median (17 yr)
State licenses
1 state
17% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-08Enumerated in NPPES
2012
2026
Where they practice
Practice location
401 Gooding St N, Ste 105
Twin Falls, ID 833016177
Mailing address
Po Box 231396
Montgomery, AL 361231396
Specialties
-
Psychologist PrimaryA 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...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new psychologist provider has been added in Twin Falls in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.