Cathy Walls, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY-003198 Issued in AZ

Practice address

8115 E Indian Bend Rd Ste 119
Scottsdale, AZ 85250-4819

Phone

(480) 577-1150

NPI assigned

Oct 23, 2006

Sex

Female

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

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.

Opted out of Medicare

Yes, effective Apr 13, 2018 through Apr 13, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Paradise Valley Unified School District

  • Local Education Agency (LEA)
  • Phoenix, AZ
  • NPI 1205949575
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1073696829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8115 E INDIAN BEND RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852504819",
            "telephone_number": "480-577-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 E INDIAN BEND RD STE 119",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852504819",
            "telephone_number": "480-577-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "CATHY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "PSY-003198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122140",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Wallace
• Logan Wallace, LCSW
• Loran Paige Wallace, LPC
• Mark Randall Wallace, MD
• Tram T Wallen, DNP, APRN, C-NP
• William Wallstrom, P.T.
• Walmart Inc. (Walmart Pharmacy 10-2766)
• Walmart Inc. (Walmart Pharmacy 10-2112)
• Walmart Pharmacy
• Walmart Stores, Inc. (Vision Center 30-2112)

• Psychologist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.

Verify at the official NPI Registry.