Ellanora Ward, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1459-057 Issued in WI

Practice address

900 John Nolen Dr
Suite 100
Madison, WI 53713-1465

Phone

(608) 256-5030

Fax

(608) 256-5038

NPI assigned

Oct 18, 2006

Sex

Female

Sole proprietor

No

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 WI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Sally J Stevens, MSSW, LCSW, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Madison, WI
  • NPI 1720169634
  Medicare reassignment
• Lake Monona Psychotherapy & Recovery Center

  • Community/Behavioral Health Agency
  • Madison, WI
  • NPI 1265512586
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780765685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 JOHN NOLEN DR",
            "address_2": "SUITE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537131465",
            "telephone_number": "608-256-5030",
            "fax_number": "608-256-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JOHN NOLEN DR",
            "address_2": "SUITE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537131465",
            "telephone_number": "608-256-5030",
            "fax_number": "608-256-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "ELLANORA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "1459-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39081600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Wanta, LPC-IT
• Rebecca Wanta
• Warby Parker Inc.
• Denita K Ward, APNP, FNP-BC
• Earlise C Ward, PHD
• Ellen Elizabeth Ward, MD
• Jordan Lemons Ward, MD
• Leticia Anne Ward
• Michael J Ward, MD
• Rory Ward, PHD

• Psychologist in Madison, WI
• Providers in Madison, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.