John Elliott Ward, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

P248 Issued in TN

Practice address

695 President PL Ste 202
Smyrna, TN 37167-5681

Phone

(615) 269-4990

Fax

(615) 953-9862

NPI assigned

Mar 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

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

Vanderbilt University School of Medicine, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sabin Behavioral HealthGroup PAC ID 7517121817, 5 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.

• Sabin Behavioral Health

  • Clinical Neuropsychologist
  • Smyrna, TN
  • NPI 1619160090
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1578689683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 PRESIDENT PL STE 202",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675681",
            "telephone_number": "615-269-4990",
            "fax_number": "615-953-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 PRESIDENT PL STE 202",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675681",
            "telephone_number": "615-269-4990",
            "fax_number": "615-953-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "JOHN",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P248",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TN",
            "license": "P248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4123821",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3680528",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenesha Walker
• Natosha Walker
• Emily Gea Waller, APN
• Jordan Walsh, DPT
• Ethan Kyle Waltz, LMSW, LMT
• Kiara Ward
• Regginald Ward
• Elise F. Waring-Vincent, LCSW
• Warise Family Dentistry PC
• Matthew S Warise, DDS

• Clinical Neuropsychologist in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Clinical Neuropsychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.