Lynda S. Walls, PH.D., Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4887 Issued in FL

Legal business name

LYNDA S. WALLS, PH.D., INC.

Practice address

931 Cassat Ave
Jacksonville, FL 32205-4857

Phone

(904) 388-2828

NPI assigned

Apr 25, 2012

Last updated

Apr 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lynda Smith Walls, PHDNPI 1184722217

Title

Owner

Phone

(904) 536-8095

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lynda Smith Walls, PH.D.

  • Clinical Psychologist
  • Jacksonville, FL
  • NPI 1184722217
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1245598499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13018 VIBURNUM DR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322461144",
            "telephone_number": "904-536-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 CASSAT AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322054857",
            "telephone_number": "904-388-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNDA S. WALLS, PH.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-536-8095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "4887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Lynch, PA
• Sarah Lynch, APRN
• Scott Lynch, MD
• Shannon Nicole Lynch
• William James Lynch, M.D.
• Crystal Lynn, CRNA
• Joshua L Lynn, PHARMD
• Lynnette D Hansen Kennison PA
• Timothy David Lyon, M.D.
• Virginia Lyon

• Psychologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.