Agnes Ward, MA, LLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301012533 Issued in MI

Practice address

27941 Harper Ave Ste 105
Saint Clair Shores, MI 48081-1535

Phone

(586) 944-6890

Fax

(586) 777-7855

NPI assigned

Oct 13, 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 names 1

• Miss Agnes Dmochowski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michigan Psychological, P.C.

  • Clinical Psychologist
  • Saint Clair Shores, MI
  • NPI 1801102744
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1861582777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27941 HARPER AVE STE 105",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811535",
            "telephone_number": "586-944-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27941 HARPER AVE STE 105",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811535",
            "telephone_number": "586-944-6890",
            "fax_number": "586-777-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "AGNES",
        "name_prefix": "Mrs.",
        "credential": "MA, LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301012533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AGNES",
            "last_name": "DMOCHOWSKI",
            "prefix": "MISS",
            "credential": "MA, LLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Isis Walker
• Kerrie Walker, ATC
• Amanda Kay Walters, LPC
• George Walz, CP, BOCO
• Magdy George Wanis, MD
• Paul D Ward, PHD, LP
• Donna Warner Manczak, PHD
• Alan R Warren, DPM
• Ashanti Washington
• Wayne County Home Care LLC

• Psychologist in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.