Regina Delicia Ward, EDD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LPC003980 Issued in GA

Practice address

3553B Memorial Dr
Decatur, GA 30032-2711

Phone

(404) 289-6299

Fax

(404) 289-6298

NPI assigned

Dec 15, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Elise Psychological Services, LLC

  • Professional Counselor
  • Lithonia, GA
  • NPI 1669898987
  NPD (past) Authorized official

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224460800000",
    "number": "1861554776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 CHESTNUT LAKE AVE",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300384568",
            "telephone_number": "404-456-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3553B MEMORIAL DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322711",
            "telephone_number": "404-289-6299",
            "fax_number": "404-289-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "REGINA",
        "middle_name": "DELICIA",
        "name_prefix": "Ms.",
        "credential": "EDD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "LPC003980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "834417259A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Herman Ward
• John Webb Ward, M.D.
• Katina Denise Ward, RN
• Olivia Ward, PHARMD
• Rebecca Ward
• Simone Ward
• Vanessa Adams Ward
• Leigh K Ware
• Vangeleen C Ware, NP
• Delbert V Warner

• Psychologist in Decatur, GA
• Providers in Decatur, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.