Dr. Connie M Ward
Psychologist

Address: 115 Habersham Dr, Fayetteville, GA 30214
Phone: 7704619944

Dr. Connie M Ward (NPI# 1477617215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1477617215
Entity Type Individual
Full Name Dr. Connie M Ward
Credential PHD
Gender Female
Practice Address 115 Habersham Dr
Fayetteville
GA 30214
Practice Telephone 7704619944
Practice Fax Number 7704619779
Mailing Address 115 Habersham Dr
Fayetteville
GA 30214
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-12-19
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 103T00000X Psychologist Behavioral Health & Social Service Providers PSY001149 GA

Other Provider Identifier

State Identifier Issuer Type Code
GA 00603842A MEDICAID

Other Providers CONNIE WARD

NPI Name Taxonomy Address Enumeration
1417265398 Connie Ward Counselor 156 Dykes Ln, La Follette, TN 37766-5017 2010-09-14
1427232073 Connie S. Ward Licensed Practical Nurse 26 Pleasant Ct, Delaware, OH 43015-2213 2007-12-18
1215099106 Connie Louise Ward Case Manager/Care Coordinator 10384 Highway 157, Rising Fawn, GA 30738-2219 2006-12-15
1407140569 Connie Jin Ward Nurse Practitioner 7001 Rogers Ave, Suite 200, Fort Smith, AR 72903-4073 2011-06-07
1275687584 Connie Lee Ward Social Worker 113 E F St, Tehachapi, CA 93561-1710 2007-01-23

Physician Overview

NPI 1477617215
PAC ID by PECOS 8628087863
Professional Enrollment ID I20060417000092
Full Name Connie M Ward
Organization Legal Name A NEW START COUNSELING CENTER INC
Phone Number 7704619944
Gender F
Credential CP
Graduation Year 1980
Primary Specialty CLINICAL PSYCHOLOGIST
Group Practice PAC ID 2466340310
Number of Group Practice Members 10
Accepts Medicare Assignment Y

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_130_1 Documentation of Current Medications in the Medical Record 100%

Office Location

Street Address 115 HABERSHAM DR
City FAYETTEVILLE
State GA
Zip Code 30214

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245308170 Richard T Lewis Psychologist 115 Habersham Dr, Fayetteville, GA 30214 2006-11-30
1043551427 Karen Donna Bisgay-dehan Psychologist 115 Habersham Dr, Fayetteville, GA 30214-7353 2013-03-08
1952659641 Kristen J Aycock Psychologist 115 Habersham Dr, Fayetteville, GA 30214-7353 2012-08-28
1518290857 Accordia Counseling Solutions Counselor 115 Habersham Dr, Fayetteville, GA 30214-7353 2009-09-17
1780840082 Damafing Keita Thomas Psychologist 115 Habersham Dr, Fayetteville, GA 30214-7353 2008-08-06
1538339379 Dana Scott Spears Counselor 115 Habersham Dr, Fayetteville, GA 30214 2008-03-07
1154465847 Gary Bruce Lebendiger Psychiatry & Neurology 115 Habersham Dr, Fayetteville, GA 30214 2007-02-16
1619016763 Rebecca Corsey Mckeogh Psychologist 115 Habersham Dr, Fayetteville, GA 30214 2007-02-05
1477619195 A New Start Counseling Center Inc Counselor 115 Habersham Dr, Fayetteville, GA 30214 2006-12-28
1922169564 Dorothy Cerezola Social Worker 115 Habersham Dr, Fayetteville, GA 30214 2006-12-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356810634 Fayette Dental Group PC Clinic/Center 720 W Lanier Ave, Fayetteville, GA 30214 2018-11-16
1891263299 Mattie Mae Farmer Clark Specialist/Technologist, Other Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 2018-11-05
1093293607 Allyson Holland Pharmacist 880 Highway 85 South, Fayetteville, GA 30214 2018-08-06
1104303809 St. Christophers Private Homecare Agency Home Health 110 Habersham Dr Ste 117, Fayetteville, GA 30214 2018-07-25
1205322302 Joshua Gordon Anesthesiologist Assistant 1255 Ga-54, Fayetteville, GA 30214 2018-07-02
1497241590 Kaitlyn Helton Pharmacist 880 Highway 85, Fayetteville, GA 30214 2018-07-02
1679065544 Abilities In Motion Community Based Residential Treatment Facility, Mental Retardati 105 Habersham Dr Ste C, Fayetteville, GA 30214 2018-06-05
1558853085 Re Generate Physiotherapy, LLC Physical Therapist 1240 Ga-54, Building 700, Fayetteville, GA 30214 2018-05-31
1861981698 Patriot Emergency Medical Services LLC Ambulance 1572 Highway 85 N Ste 507, Fayetteville, GA 30214 2018-05-07
1548767619 Atlanta Id Group, P.C. Pharmacy 1265 Highway 54 West, Suite 500-c, Fayetteville, GA 30214 2018-04-06
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912483348 Young Psychological Services, Pllc Psychologist 3800 Sunchase Dr, Fayetteville, NC 28306-8099 2018-07-18
1851814230 Blakely Low Psychologist 1229 Meadow Street Suite #221, Jones Family Center for Student-athlete Success, Fayetteville, AR 72701 2017-07-18
1114344330 Lesley Teitelbaum Psychologist 5080 Bridle Path Rd, Fayetteville, NY 13066-9734 2014-03-26
1740605062 Kimberlee Alane Cooper Psychologist 1200 Fairmont Ct, Fayetteville, NC 28304-4403 2014-02-24
1588093272 House of Quality Group Home Corporation Psychologist 1450 Thelbert Dr, Fayetteville, NC 28301-3946 2013-11-04
1043647738 Deborah Berntson Phd Psychologist 125 Olive Rd, Fayetteville, NC 28305-5064 2013-09-26
1982958260 Kilynda Vernette Ray Psychologist 2300 Ramsey Street, Bldg. 50, Rm 206, Veteran's Health Administration, Fayetteville, NC 28301-6170 2012-11-07
1073819926 Nicole O Collins Psychologist 5843 Waters Edge Dr, Fayetteville, NC 28314-1063 2011-02-09
1598067449 Autism Therapeutic Services Psychologist 2919 Breezewood Ave Ste 202, Fayetteville, NC 28303-5283 2010-11-29
1104060771 Anita Cannon Psychologist 595 Winding Creek Rd Apt F, Fayetteville, NC 28305-5165 2009-04-27
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Competitor

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City FAYETTEVILLE
Zip Code 30214

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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