Individual provider Active NPI

Greg Ross Ford, PH.D.

  • Psychologist
  • Bellingham, WA
National Provider Identifier
1740219153
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY00002303 Issued in WA
Practice address
801 Samish Way
Bellingham, WA 98229-2901
Phone
(360) 255-2505
Fax
(360) 255-2504
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY00002303 WA Primary

Addresses

Primary practice location

801 Samish Way
Bellingham, WA 98229-2901

Mailing address

801 Samish Way
Bellingham, WA 98229-2901
Phone (360) 255-2505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20080923000716 WA Practitioner - Clinical Psychologist 9032286695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Alabama School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehabilitation Psychology Services P SGroup PAC ID 7416024070, 2 clinicians

Practice addresses (Care Compare)

801 Samish Way
Bellingham, WA 98229-2940
Phone 3602552505100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY00002303WAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Psychology Services P S Psychologist CurrentSince Oct 1, 2008 Accepting new patients

Locations

12 Bellwether Way
Ste 223
Bellingham, WA 98225
Phone (360) 230-8202

801 Samish Way
Bellingham, WA 98229
Phone (360) 255-2505

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1740219153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SAMISH WAY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982292901",
            "telephone_number": "360-255-2505",
            "fax_number": "360-255-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SAMISH WAY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982292901",
            "telephone_number": "360-255-2505",
            "fax_number": "360-255-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "GREG",
        "middle_name": "ROSS",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00002303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.