Active NPI
Leslie Stern Walker, M.D.
- Psychiatry Physician
- Shaker Heights, OH
National Provider Identifier
1063519981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35.089341
- Practice address
- 20600 Chagrin Blvd
Ste. 702
Shaker Heights, OH 44122-5327 - Phone
- (216) 767-0440
- Fax
- (216) 767-0442
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35.089341 | OH | Primary |
Addresses
Primary practice location
20600 Chagrin Blvd
Ste. 702
Shaker Heights, OH 44122-5327
Mailing address
20600 Chagrin Blvd
Ste. 702
Shaker Heights, OH 44122-5327
Phone (216) 767-0440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Sep 4, 2013 through Sep 4, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.089341 | OH | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247702400000",
"number": "1063519981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20600 CHAGRIN BLVD",
"address_2": "STE. 702",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441225327",
"telephone_number": "216-767-0440",
"fax_number": "216-767-0442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20600 CHAGRIN BLVD",
"address_2": "STE. 702",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441225327",
"telephone_number": "216-767-0440",
"fax_number": "216-767-0442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "LESLIE",
"middle_name": "STERN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2009-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35.089341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shaker Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.