John Anthony Walsh Jr., PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

253 Issued in NH

Practice address

401 Gilford Ave # 1C
Gilford, NH 03249-7500

Phone

(603) 528-2307

Fax

(603) 528-2257

NPI assigned

Aug 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053328567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7274",
            "address_2": "401 GILFORD AVE., #1C",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032477274",
            "telephone_number": "603-528-2307",
            "fax_number": "603-528-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GILFORD AVE # 1C",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "032497500",
            "telephone_number": "603-528-2307",
            "fax_number": "603-528-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80622250",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Alan Ulman, LCMHC, LADC
• Olivia Nicole Wagner, APRN
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2639)
• Wal-Mart Stores East, LP (Walmart Vision Center 30-2639)
• Ramona Waldo
• Susan Hattie Walsh, L.I.C.S.W.
• Karen P Wayment, PSY.D.
• Christopher Weinmann, MD
• Karen Whitman, MA, CCC-SLP
• Kayla Wilson, CPNP-PC

• Clinical Psychologist in Gilford, NH
• Providers in Gilford, NH by specialty
• Clinical Psychologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.