Active NPI
Rachel Mary Ward, PSY.D.
- Clinical Psychologist
- Hilton Head, SC
National Provider Identifier
1053480871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1517
- Practice address
- 68 Barony LN
Hilton Head, SC 29928-5500 - Phone
- (815) 354-7527
- Fax
- (833) 901-2941
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1517 | SC | Primary |
Addresses
Primary practice location
68 Barony LN
Hilton Head, SC 29928-5500
Mailing address
68 Barony LN
Hilton Head, SC 29928-5500
Phone (815) 354-7527
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20-1026226 | Other | IL | TAX IDENTIFICATION NUMBER |
| 10132114 | Other | IL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
400 Main St
Suite 100A11
Hilton Head, SC 29926-4625
Phone (815) 354-7527
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1517 | SC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M.H.R.C. Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Hilton Head, SC
- NPI 1215111802
-
- Clinical Psychologist
- Rockford, IL
- NPI 1235243510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1053480871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 BARONY LN",
"city": "HILTON HEAD",
"state": "SC",
"postal_code": "299285500",
"telephone_number": "815-354-7527",
"fax_number": "833-901-2941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 BARONY LN",
"city": "HILTON HEAD",
"state": "SC",
"postal_code": "299285500",
"telephone_number": "815-354-7527",
"fax_number": "833-901-2941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "RACHEL",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SC",
"license": "1517",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "20-1026226",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "10132114",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hilton Head, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.