Kristen Hanzak Walter, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6862 Issued in OH

Practice address

1000 S Fort Thomas Ave
Cincinnati Vamc - Ft. Thomas Division; PTSD
Fort Thomas, KY 41075-2305

Phone

(513) 861-3100

Fax

(589) 572-6748

NPI assigned

Dec 5, 2011

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1265700363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S FORT THOMAS AVE",
            "address_2": "CINCINNATI VAMC - FT. THOMAS DIVISION; PTSD",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410752305",
            "telephone_number": "513-861-3100",
            "fax_number": "589-572-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S FORT THOMAS AVE",
            "address_2": "CINCINNATI VAMC - FT. THOMAS DIVISION; PTSD",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410752305",
            "telephone_number": "513-861-3100",
            "fax_number": "589-572-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "KRISTEN",
        "middle_name": "HANZAK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Vogelpohl, OTR/L
• Crystal Wagner, APRN
• James Martin Waite, DMD
• Grace Walker, MSN, CNP
• Taylor Walt
• Catherine Walters, OTD, OTR/L
• Kyle Walters, M.D.
• Cheryl Wargo
• Brenton D Warren, M.D.
• Natalie N Webb, PA-C

• Clinical Psychologist in Fort Thomas, KY
• Providers in Fort Thomas, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.

Verify at the official NPI Registry.