AUDREY J FORD PHD
NPI 1306675491
Psychologist in Madison, WI

Active since July 29, 2024PECOS EnrolledAccepts Medicare Assignment
1102 S PARK ST, MADISON, WI 53715(608) 282-8270 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2024, Jul 29, 2024 (2 updates tracked since 2024).

About Audrey J Ford Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUDREY J FORD PHD (NPI 1306675491) is an individual psychologist in Madison, Wisconsin, licensed in Wisconsin (5232-57) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1306675491
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameAUDREY J FORDCredential: PHD
Location Address1102 S PARK STMadison, WI 53715-1708
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 29, 2024
Last NPPES UpdateDecember 18, 20242 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
NPI 1306675491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WI · 5232-57
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.
1102 S PARK ST, Madison, WI 53715

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Audrey J Ford Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234670340
PECOS Enrollment IDI20240917001307
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1102 S PARK ST
MADISON, WI 53715
Nurse Practitioner (Psychiatric/Mental Health)
1102 S PARK ST
MADISON, WI 53715
Counselor (Addiction (Substance Use Disorder))
1102 S PARK ST
MADISON, WI 53715
Family Medicine
1102 S PARK ST
MADISON, WI 53715
Counselor (Professional)
1102 S PARK ST
MADISON, WI 53715
Psychiatry & Neurology (Psychiatry)
1102 S PARK ST
MADISON, WI 53715
Counselor (Addiction (Substance Use Disorder))
1102 S PARK ST
MADISON, WI 53715
Family Medicine
1102 S PARK ST
MADISON, WI 53715

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Audrey Ford's NPI number?

The NPI number for Audrey Ford is 1306675491. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Where is Audrey Ford located?

Audrey Ford practices at 1102 S Park St, Madison, WI 53715. The listed phone number is (608) 282-8270.

What is Audrey Ford's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Audrey Ford enrolled in Medicare?

Yes. Audrey Ford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Audrey Ford accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Audrey Ford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Audrey Ford was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.