Individual provider Active NPI

Lydia S Ward-Gray, PSYD

  • Psychologist
  • Lewiston, ME
National Provider Identifier
1992812770
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS881 Issued in ME
Practice address
33 Mollison Way
Lewiston, ME 04240-5805
Phone
(207) 755-3785
Fax
(207) 376-3080
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS881 ME Primary

Addresses

Primary practice location

33 Mollison Way
Lewiston, ME 04240-5805

Mailing address

PO Box 10187
Albany, NY 12201-5187
Phone (207) 777-4111

Other identifiers 1

IdentifierTypeStateIssuer
233310199MedicaidME

Other names 1

  • Lydia S Ward Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20110310000991 ME Practitioner - Clinical Psychologist 9537341656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Falmouth, ME 04105
Phone (207) 232-4508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lydia Ward-Gray, PSYD, LLC CurrentSince Oct 26, 2020 Accepting new patients

Locations

170 US Route 1
Ste 220
Falmouth, ME 04105
Phone (207) 232-4508

9C Sanborn St
Ste 2
Portland, ME 04103
Phone (207) 232-4508

Organizations & group practices 1

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1992812770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10187",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122015187",
            "telephone_number": "207-777-4111",
            "fax_number": "207-783-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MOLLISON WAY",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405805",
            "telephone_number": "207-755-3785",
            "fax_number": "207-376-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD-GRAY",
        "first_name": "LYDIA",
        "middle_name": "S",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233310199",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYDIA",
            "last_name": "WARD",
            "middle_name": "S",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.