Catherine Anne Ford Bard, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1921 Issued in WI

Practice address

200 Enterprise Dr
Verona, WI 53593-9124

Phone

(715) 212-4641

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lutheran Social Services of Wisconsin and Upper Michigan, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Janesville, WI
  • NPI 1386719177
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1508926627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 HOYT ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537264017",
            "telephone_number": "715-212-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ENTERPRISE DR",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535939124",
            "telephone_number": "715-212-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD BARD",
        "first_name": "CATHERINE",
        "middle_name": "ANNE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "1921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39129900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fitch-Rona EMS District
• McKenzie Fitzpatrick
• Ramon I Fleming Jr.
• Kerryn Foley, MA, MS
• Brooke C Follansbee, OTD, OTR/L
• Michael P Ford, MD
• Four Winds Manor, Inc.
• Kirsten Leigh Franklin
• Ayanna Frazier
• Maija Wolf Fredrick

• Clinical Psychologist in Verona, WI
• Providers in Verona, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.