Martin Ward, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-004627 Issued in AZ

Practice address

13471 W Cornerstone Blvd
Goodyear, AZ 85395-2713

Phone

(877) 809-5092

Fax

(480) 718-9477

NPI assigned

Mar 27, 2006

Sex

Male

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

Enrolled in PA

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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Equilibria Mental Health ServicesGroup PAC ID 5698166783, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Equilibria Mental Health Services

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1225792872
  Medicare reassignment Care Compare group NPD
• Equilibria Psychological and Consultation Services, LLC

  • Clinical Psychologist
  • Philadelphia, PA
  • NPI 1356454045
  NPD
• Pawnee Mental Health Service, Inc.

  • Primary Care Clinic/Center
  • Manhattan, KS
  • NPI 1356139158
  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1548220163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 N CENTRAL AVE STE 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122808",
            "telephone_number": "623-583-3001",
            "fax_number": "623-974-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13471 W CORNERSTONE BLVD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952713",
            "telephone_number": "877-809-5092",
            "fax_number": "480-718-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "MARTIN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "PSY-004627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "456288",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walmart Stores, Inc.
• Aspyn Leeann Walters
• Chung Wang, MD
• Caroline Jean Ward, M.S., CCC-SLP
• Carrie A Ward, OT
• Taylor Warinner-Calixto, PT, DPT
• Frederick T Warner, MD
• Chelsea Danielle Warren, PHARMD, BCPS
• Robert Allan Wascher, MD
• Ethan Wash

• Clinical Psychologist in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.