Individual provider Active NPI

Shari D Ward, NP-PSYCHIATRY

  • Psychiatric/Mental Health Nurse Practitioner
  • Carmel, NY
National Provider Identifier
1952415804
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F4004991 Issued in NY
Practice address
102 Gleneida Ave Ste 1
Carmel, NY 10512-1219
Phone
(845) 225-4707
Fax
(845) 225-4719
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F4004991 NY Primary

Addresses

Primary practice location

102 Gleneida Ave Ste 1
Carmel, NY 10512-1219

Mailing address

32 Old Farm Rd
Carmel, NY 10512-5065
Phone (914) 924-7724

Other identifiers 1

IdentifierTypeStateIssuer
01420795MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040907000937 NY Practitioner - Nurse Practitioner 5597731026 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Florida International Univ, College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Memorial Ave
Pawling, NY 12564-1125
Phone (845) 225-4707

32 Old Farm Rd
Carmel, NY 10512-5065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F4004991NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy & Medication Treatment, PLLC Psychiatric/Mental Health CurrentSince Nov 1, 2022 Accepting new patients
Family Services, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Rivia Medical PLLC PastSince Apr 23, 2023 Accepting new patients
Saint Francis Hospital / Medicine Past Accepting new patients
Carmel Psychological Health, PC Past Accepting new patients

Locations

7 Market St
Dover Plains, NY 12522
Phone (845) 877-4100

131 County House Rd
Millbrook, NY 12545
Phone (845) 605-3542

1 Memorial Ave
Pawling, NY 12564
Phone (203) 731-4387

29 N Hamilton St
Poughkeepsie, NY 12601
Phone (845) 452-1110

Organizations & group practices 5

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1952415804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 OLD FARM RD",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105125065",
            "telephone_number": "914-924-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 GLENEIDA AVE STE 1",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105121219",
            "telephone_number": "845-225-4707",
            "fax_number": "845-225-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "SHARI",
        "middle_name": "D",
        "credential": "NP-PSYCHIATRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F4004991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01420795",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

Verify at the official NPI Registry.