Active NPI
Marcia Ward, PHD
- Clinical Psychologist
- Perrysburg, OH
National Provider Identifier
1124016290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5761
- Practice address
- 316 Louisiana Ave
Perrysburg, OH 43551-1461 - Phone
- (419) 874-3212
- Fax
- (419) 874-3227
- NPI assigned
- Oct 12, 2005
- Sex
- Female
- Sole proprietor
- No
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 | 5761 | OH | Primary |
Addresses
Primary practice location
316 Louisiana Ave
Perrysburg, OH 43551-1461
Mailing address
330 Louisiana Ave
Ste a
Perrysburg, OH 43551-1470
Phone (419) 874-9488
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203431 | Other | ANTHEM | |
| L2274560 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
107 Howard St
Petoskey, MI 49770-2409
Phone (419) 290-3377
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5761 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Northern Michigan | Current | Accepting new patients | |
| McLaren Northern Michigan | Current | Accepting new patients |
Locations
416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000
2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Petoskey, MI
- NPI 1760736094
-
- Psychiatric Hospital Unit
- Cheboygan, MI
- NPI 1336897735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1124016290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 LOUISIANA AVE",
"address_2": "STE A",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435511470",
"telephone_number": "419-874-9488",
"fax_number": "419-874-4822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 LOUISIANA AVE",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435511461",
"telephone_number": "419-874-3212",
"fax_number": "419-874-3227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "MARCIA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "5761",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "203431",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "L2274560",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Perrysburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.