Individual provider Active NPI

Charlotte Reeves Walyko, MA, LPA

  • Psychologist
  • Rocky Mount, NC
National Provider Identifier
1073577284
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1699 Issued in NC
Practice address
854 Country Club Rd
Rocky Mount, NC 27804-1706
Phone
(252) 972-9903
Fax
(252) 451-1540
NPI assigned
Apr 14, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1699 NC Primary

Addresses

Primary practice location

854 Country Club Rd
Rocky Mount, NC 27804-1706

Mailing address

PO Box 2161
Roanoke Rapids, NC 27870-7161
Phone (252) 537-6164

Other identifiers 2

IdentifierTypeStateIssuer
6107008MedicaidNC
04579OtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Carriage House Psychological Associates, PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073577284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2161",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278707161",
            "telephone_number": "252-537-6164",
            "fax_number": "252-537-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 COUNTRY CLUB RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041706",
            "telephone_number": "252-972-9903",
            "fax_number": "252-451-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALYKO",
        "first_name": "CHARLOTTE",
        "middle_name": "REEVES",
        "name_prefix": "Ms.",
        "credential": "MA, LPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107008",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04579",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.