IndividualActive
Gardner Carlson
NPI 1063977460 · Licensed Psychiatric Technician · Santa Rosa, CA
Gardner Carlson is a Licensed Psychiatric Technician provider in Santa Rosa, CA (NPI 1063977460).
Provider details
- NPI number
- 1063977460
- Entity type
- Individual
- Primary specialty
- Licensed Psychiatric TechnicianNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 31251 (CA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2225 Challenger Way
Santa Rosa, CA 95407-5441
Phone: (707) 565-4970
Fax: (707) 565-5183
Street-level locationGet directions
Mailing address
2225 Challenger Way
Santa Rosa, CA 95407-5441
Registry dates
- Enumerated
- 2019-02-10
- Last updated
- 2019-02-10
Frequently asked questions
- What is Gardner Carlson's NPI number?
- Gardner Carlson's National Provider Identifier (NPI) is 1063977460, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gardner Carlson's specialty?
- Gardner Carlson is listed in the NPPES registry with a primary specialty of Licensed Psychiatric Technician (Nursing Service Providers).
- Where is Gardner Carlson located?
- Gardner Carlson's practice location on file with NPPES is 2225 Challenger Way, Santa Rosa, CA 95407-5441.
- What is Gardner Carlson's phone number?
- The practice phone number listed in the NPPES registry for Gardner Carlson is (707) 565-4970.
- Is Gardner Carlson's NPI active?
- Yes — Gardner Carlson's NPI (1063977460) is active in the NPPES registry as of the last update on 2019-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.