Active NPI
Tabatha Walls
- School Psychologist
- Richwood, OH
National Provider Identifier
1316324684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- MA1001111
- Practice address
- 420 Grove St
Richwood, OH 43344-9022 - Phone
- (740) 943-1725
- NPI assigned
- May 6, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | MA1001111 | OH | Primary |
Addresses
Primary practice location
420 Grove St
Richwood, OH 43344-9022
Mailing address
420 Grove St
Richwood, OH 43344-9022
Phone (740) 943-1725
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA1001111 | OH | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1316324684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 GROVE ST",
"city": "RICHWOOD",
"state": "OH",
"postal_code": "433449022",
"telephone_number": "740-943-1725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 GROVE ST",
"city": "RICHWOOD",
"state": "OH",
"postal_code": "433449022",
"telephone_number": "740-943-1725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLS",
"first_name": "TABATHA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-06",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "MA1001111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.