Nicole T. Ward, PSYD, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP5524 Issued in MN

Practice address

1833 3Rd Ave
Anoka, MN 55303-2424

Phone

(763) 421-5535

Fax

(763) 433-0226

NPI assigned

Aug 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, WI2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Croix CountyGroup PAC ID 3779676044, 9 clinicians

Family Innovations IncGroup PAC ID 6204178528, 96 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• St Croix County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Richmond, WI
  • NPI 1932265105
  Medicare reassignment Care Compare group NPD
• Family Innovations, Inc.

  • Counseling Psychologist
  • Anoka, MN
  • NPI 1992862783
  Medicare reassignment Care Compare group
• Cornerstone Counseling Services, Inc

  • Mental Health Counselor
  • Brookfield, WI
  • NPI 1033127246
  Medicare reassignment NPD
• St Croix County

  • Public Health or Welfare Agency
  • New Richmond, WI
  • NPI 1659553618
  NPD
• West Central Counseling LLC

  • Mental Health Counselor
  • Alexandria, MN
  • NPI 1649846650
  NPD (past)

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1497901532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 3RD AVE",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032424",
            "telephone_number": "763-421-5535",
            "fax_number": "763-433-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 3RD AVE",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032424",
            "telephone_number": "763-421-5535",
            "fax_number": "763-433-0226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 University Ave W Ste 314N",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551141052",
            "country_code": "US",
            "telephone_number": "651-379-5157",
            "fax_number": "651-379-5159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "NICOLE",
        "middle_name": "T.",
        "credential": "PSYD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walker Methodist Plaza Gardens
• Walker Senior Housing Corporation III
• Amy Wallraff, MS CCC/SLP
• Savannah Walter
• Anna Kirsten Warnes, APRN-NP
• Audrey Patricia Warrus, MA LP & LMFT
• Jaydin Washington
• Gregory Albert Weber, M.D.
• Angela Wefel, LICSW

• Clinical Psychologist in Anoka, MN
• Providers in Anoka, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.