Individual provider Active NPI

Taeh Allison Ward, PH.D.

  • Clinical Neuropsychologist
  • Mooresville, NC
National Provider Identifier
1881967222
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
4804 Issued in NC
Practice address
344 Rolling Hill Rd Ste 105
Mooresville, NC 28117-6865
Phone
(704) 662-5459
Fax
(704) 663-2554
NPI assigned
Feb 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 4804 NC Primary

Addresses

Primary practice location

344 Rolling Hill Rd Ste 105
Mooresville, NC 28117-6865

Mailing address

344 Rolling Hill Rd Ste 105
Mooresville, NC 28117-6865
Phone (704) 662-5459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20151105001030 NC Practitioner - Clinical Psychologist 5890017206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

344 Rolling Hill Rd
Suite 105
Mooresville, NC 28117-6865
Phone (704) 662-5459

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1897ALMDProfessional Counselor
4804NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Solutions of Lake Norman, PLLC Clinical Neuropsychologist CurrentSince Jul 21, 2020 Accepting new patients
Pinehurst Neuropsychology, PLLC CurrentSince Jun 29, 2015 Accepting new patients

Locations

344 Rolling Hill Rd
Ste 105
Mooresville, NC 28117
Phone (704) 662-5459

80 Blake Blvd
Unit 3991
Pinehurst, NC 28374

45 Aviemore Dr
Pinehurst, NC 28374
Phone (910) 235-3347

Organizations & group practices 2

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": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1881967222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 ROLLING HILL RD STE 105",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176865",
            "telephone_number": "704-662-5459",
            "fax_number": "704-663-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 ROLLING HILL RD STE 105",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176865",
            "telephone_number": "704-662-5459",
            "fax_number": "704-663-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "TAEH",
        "middle_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NC",
            "license": "4804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.