Active NPI
Christina M Walker, PSY.D.
- Psychologist
- Corte Madera, CA
National Provider Identifier
1326223587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY22470
- Practice address
- 45 San Clemente Dr Ste B230
Corte Madera, CA 94925-1299 - Phone
- (415) 886-7062
- NPI assigned
- Jan 7, 2008
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PSB33236 | CA | |
| Psychologist | 103T00000X | PSY22470 | CA | Primary |
Addresses
Primary practice location
45 San Clemente Dr Ste B230
Corte Madera, CA 94925-1299
Mailing address
45 San Clemente Dr Ste B230
Corte Madera, CA 94925-1299
Phone (415) 886-7062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSB33236 | CA | MD | Mental Health Counselor |
| PSY22470 | CA | MD | Psychologist |
| 22470 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523923200000",
"number": "1326223587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 SAN CLEMENTE DR STE B230",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949251299",
"telephone_number": "415-886-7062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 SAN CLEMENTE DR STE B230",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949251299",
"telephone_number": "415-886-7062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "CHRISTINA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-07",
"last_updated": "2018-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "PSB33236",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY22470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corte Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.