Jeffrey Michael Walters, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS-009301L Issued in PA

Practice address

2091 E High St
Pottstown, PA 19464-3211

Phone

(610) 970-5234

Fax

(610) 970-0945

NPI assigned

Jan 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psychology and Counseling Associates, PCGroup PAC ID 9335127067, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Psychology & Counseling Associates, PC

  • Clinical Psychologist
  • Pottstown, PA
  • NPI 1750303368
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235109141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2091 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643211",
            "telephone_number": "610-970-5234",
            "fax_number": "610-970-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643211",
            "telephone_number": "610-970-5234",
            "fax_number": "610-970-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-009301L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Wallace
• Isabel Louise Wallace
• Kelsey Elizabeth Waller, NP
• Charlyce J Wallington, M.D.
• Erin Elizabeth Walters, BS, MPT, DPT
• Kathryn T. Walters, MS
• Tori Nicole Walton
• Morgan Wambold
• Leyi Wang
• Monica Wang, OD

• Clinical Psychologist in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.