Active NPI
Caron Walter, PHD
- Clinical Psychologist
- Rockville, MD
National Provider Identifier
1114745221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS017575
- Practice address
- 16504 Grande Vista Dr
Rockville, MD 20855-1916 - Phone
- (703) 357-7599
- NPI assigned
- Sep 27, 2024
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS017575 | PA | Primary |
Addresses
Primary practice location
16504 Grande Vista Dr
Rockville, MD 20855-1916
Mailing address
16504 Grande Vista Dr
Rockville, MD 20855-1916
Phone (703) 357-7599
Other names 1
- Caron Heigel
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS017575 | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1114745221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16504 GRANDE VISTA DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208551916",
"telephone_number": "703-357-7599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16504 GRANDE VISTA DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208551916",
"telephone_number": "703-357-7599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTER",
"first_name": "CARON",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-27",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS017575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARON",
"last_name": "HEIGEL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.