Active NPI
Amy Sherell Walker, PH.D.
- Counseling Psychologist
- Gaithersburg, MD
National Provider Identifier
1265669121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 04833
- Practice address
- 310 Palmspring Dr
Gaithersburg, MD 20878-2941 - Phone
- (301) 963-1449
- NPI assigned
- Jun 18, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS016856 | PA | |
| Counseling Psychologist | 103TC1900X | 04833 | MD | Primary |
Addresses
Primary practice location
310 Palmspring Dr
Gaithersburg, MD 20878-2941
Mailing address
310 Palmspring Dr
Gaithersburg, MD 20878-2941
Phone (301) 963-1449
Other names 1
- Dr. Amy Cammack
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 |
|---|---|---|---|
| PS016856 | PA | MD | Psychologist |
| 04833 | MD | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309132800000",
"number": "1265669121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 PALMSPRING DR",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208782941",
"telephone_number": "301-963-1449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 PALMSPRING DR",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208782941",
"telephone_number": "301-963-1449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "AMY",
"middle_name": "SHERELL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-18",
"last_updated": "2011-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS016856",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MD",
"license": "04833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "CAMMACK",
"prefix": "DR.",
"credential": "PH.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.