Edward Martin Walker, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

012624-1 Issued in NY

Practice address

817 Chestnut Ridge Rd FL 2
Chestnut Ridge, NY 10977-6314

Phone

(917) 679-6764

NPI assigned

Aug 1, 2006

Last updated

May 16, 2019By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stephen F. Oswald, D.C., P.C.

  • Chiropractor
  • Chestnut Ridge, NY
  • NPI 1235328329
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1083620660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 CHESTNUT RIDGE RD FL 2",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109776314",
            "telephone_number": "917-679-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 CHESTNUT RIDGE RD FL 2",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109776314",
            "telephone_number": "917-679-6764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 W 96th St Apt 1A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100256927",
            "country_code": "US",
            "telephone_number": "917-679-6764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "EDWARD",
        "middle_name": "MARTIN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "12624",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012624-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01631167",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sally Troyanovski, L.AC, M.AC, DACCHM
• Sarah Rivkah Vaiselbuh, M.D.
• Frank Anthony Vigilante, R.PH.
• Cheryl Volpe
• Christine Walker
• Rebecca Wallace
• Shaindy Weinstein, OTR/L
• Hillary Wells, LAC
• Annmarie Wilhelm, COTA
• William Paul Faist Volunteer Ambulance Corps

• Clinical Psychologist in Chestnut Ridge, NY
• Providers in Chestnut Ridge, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.