Lydia Ward-Gray, PSYD, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS881 Issued in ME

Legal business name

LYDIA WARD-GRAY, PSYD, LLC

Practice address

19 South Street
Suite 4
Portland, ME 04101

Phone

(207) 232-4508

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Lydia Ward-Gray, PSYDNPI 1992812770

Title

Clinical Psychologist

Phone

(207) 232-4508

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lydia S Ward-Gray, PSYD

  • Psychologist
  • Lewiston, ME
  • NPI 1992812770
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1578019113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SOUTH ST",
            "address_2": "SUITE 4",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013963",
            "telephone_number": "207-232-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SOUTH STREET",
            "address_2": "SUITE 4",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04101",
            "telephone_number": "207-232-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYDIA WARD-GRAY, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "WARD-GRAY",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "207-232-4508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lee Lunden, LCSW, LADC
• Julie M Lundman, CNM
• Emily Lusenhop
• Angela Lutzenberger
• Luxelife Caregiving of Maine LLC
• Breanna Lynn Lynch, M.S, R.D
• David W Lynch, MD
• Jeremy Lynch, LCSW-CC
• Katlyn Alyssa Lynch, DPT
• Kelly Lynch, M.A

• Clinical Psychologist in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.