Asia A Wardlaw, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY12195 Issued in FL

Practice address

9635 Lemon Drop Loop
Ruskin, FL 33573-1202

Phone

(313) 318-1833

NPI assigned

Feb 4, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Che Behavioral Health Services of Florida, P.a.Group PAC ID 5698185775, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Che Behavioral Health Services of Florida, P.a.

  • Community/Behavioral Health Agency
  • Ft Lauderdale, FL
  • NPI 1932721206

  Clinical

  Medicare reassignment Care Compare group NPD
• Cotler Healthcare & Development Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wellington, FL
  • NPI 1225075047

  Clinical

  Medicare reassignment NPD
• Bay Area Neuropsychology, LLC

  • Psychologist
  • Tampa, FL
  • NPI 1790023851
  Medicare reassignment
• Manatee Associates of Counseling & Assessment

  • Community/Behavioral Health Agency
  • Palmetto, FL
  • NPI 1902449689
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1336893817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9635 LEMON DROP LOOP",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335731202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9635 LEMON DROP LOOP",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335731202",
            "telephone_number": "313-318-1833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2919 W Swann Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336094050",
            "country_code": "US",
            "telephone_number": "813-381-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARDLAW",
        "first_name": "ASIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY12195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Von Ellm-McKenna, PA-S
• Linda Vu, PA-C
• Wal-Mart Stores East, L.P.
• Henry Walker Jr., HOME MAKER COMPANION
• Janeicka Walker
• Devin Cedric Warfield, FNP-C
• Michael Roy Warren
• Maggie J Washington, LPN
• Sherra Washington, M.S., CCC-SLP
• Rebekah N Webster, CPRS - A/F/Y

• Clinical Psychologist in Ruskin, FL
• Providers in Ruskin, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.

Verify at the official NPI Registry.