Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Victorio M. Gardner, PSYD

Individual provider Clinical Psychologist · NPI 1376691964

Victorio M. Gardner, PSYD is a Clinical Psychologist in Detroit, Michigan. Graduated from Wright State University Boonshoft School of Medicine in 1994, 32 years ago. Practices with Henry Ford Health Eastwood Behavioral Health, a 51-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
32
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
MI
In the registry since
2007
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-2600
Fax: (313) 874-4677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301009431 (MI)
Psychologist Taxonomy 103T00000X · Licence 6301009431 (MI)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence 6301009431 (MI)

Record details

NPI number1376691964
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJanuary 8, 2007
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Henry Ford Health Eastwood Behavioral Health — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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