Individual provider Active NPI

Chyril Walker, PH.D.

  • Clinical Psychologist
  • Tigard, OR
National Provider Identifier
1013296847
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
997 Issued in OR
Practice address
6950 SW Hampton St
Suite 319
Tigard, OR 97223-8329
Phone
(971) 313-2094
NPI assigned
Aug 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 997 OR Primary

Addresses

Primary practice location

6950 SW Hampton St
Suite 319
Tigard, OR 97223-8329

Mailing address

6950 SW Hampton St
Suite 319
Tigard, OR 97223-8329
Phone (971) 313-2094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20121121000009 OR Practitioner - Clinical Psychologist 8729239744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4466 NE Devils Lake Blvd
Suite a
Lincoln City, OR 97367-5197
Phone (971) 313-2094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Chyril Walker PHD PC Clinical CurrentSince Oct 6, 2012 Accepting new patients
Chyril Walker PHD PC Clinical CurrentSince Oct 6, 2012 Accepting new patients

Locations

4466 NE Devils Lake Blvd
Ste A
Lincoln City, OR 97367
Phone (541) 921-7945

117 NW 8th St
McMinnville, OR 97128
Phone (503) 379-0208

6950 SW Hampton St
Ste 319
Tigard, OR 97223
Phone (503) 816-2443

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": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1013296847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 SW HAMPTON ST",
            "address_2": "SUITE 319",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238329",
            "telephone_number": "971-313-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 SW HAMPTON ST",
            "address_2": "SUITE 319",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238329",
            "telephone_number": "971-313-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "CHYRIL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.