Individual provider Active NPI

Martha Walch, PH.D

  • Psychologist
  • San Antonio, TX
National Provider Identifier
1285615005
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
23379 Issued in TX
Practice address
6800 Park Ten Blvd Ste 212North
San Antonio, TX 78213-4211
Phone
(210) 446-7049
NPI assigned
Nov 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 23379 TX
Psychologist 103T00000X 23379 TX Primary

Addresses

Primary practice location

6800 Park Ten Blvd Ste 212North
San Antonio, TX 78213-4211

Mailing address

2313 Lockhill Selma Rd Ste 208
San Antonio, TX 78230-3007
Phone (210) 446-7049

Other identifiers 1

IdentifierTypeStateIssuer
1285615005OtherNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tommartha@att.net

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
23379TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Martha Walch, PHD. Psychologist Past Accepting new patients
Cristo Rey Clinic, PA PastSince Nov 1, 2007 Accepting new patients
Evergreen Elder Care, Inc. Psychologist Past Accepting new patients
Rosa Verde Family Health Group Psychologist Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1285615005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 LOCKHILL SELMA RD STE 208",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303007",
            "telephone_number": "210-446-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 PARK TEN BLVD STE 212NORTH",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134211",
            "telephone_number": "210-446-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALCH",
        "first_name": "MARTHA",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "23379",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "23379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285615005",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tommartha@att.net",
            "affiliation": "N",
            "address_1": "6800 Park Ten Blvd Ste 212North",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782134211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.