Active NPI
Walter Brandon Ware, PSY.D.
- Clinical Psychologist
- Savannah, GA
National Provider Identifier
1376971242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 53 928
- Practice address
- 1170 Shawnee St
Savannah, GA 31419-1618 - Phone
- (912) 920-0214
- NPI assigned
- Oct 31, 2013
- Sex
- Male
- 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 | 53 928 | MS | Primary |
Addresses
Primary practice location
1170 Shawnee St
Savannah, GA 31419-1618
Mailing address
1540 Bradley Blvd
Savannah, GA 31419-8168
Phone (769) 972-1110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53 928 | MS | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482969600000",
"number": "1376971242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 BRADLEY BLVD",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314198168",
"telephone_number": "769-972-1110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 SHAWNEE ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314191618",
"telephone_number": "912-920-0214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARE",
"first_name": "WALTER",
"middle_name": "BRANDON",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-31",
"last_updated": "2016-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MS",
"license": "53 928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.