Active NPI
Margo Wade Walsh, PH.D.
- Clinical Psychologist
- Gig Harbor, WA
National Provider Identifier
1346320371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY00002742
- Practice address
- 7106 Ford Dr NW
Gig Harbor, WA 98335-6482 - Phone
- (253) 265-1448
- Fax
- (253) 265-1448
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY00002742 | WA | Primary |
Addresses
Primary practice location
7106 Ford Dr NW
Gig Harbor, WA 98335-6482
Mailing address
7106 Ford Dr NW
Gig Harbor, WA 98335-6482
Phone (253) 265-1448
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8405326 | Medicaid | WA | |
| AB36789 | Other | WA | MEDICARE ID |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PY00002742 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435708800000",
"number": "1346320371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7106 FORD DR NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983356482",
"telephone_number": "253-265-1448",
"fax_number": "253-265-1448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7106 FORD DR NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983356482",
"telephone_number": "253-265-1448",
"fax_number": "253-265-1448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE WALSH",
"first_name": "MARGO",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2015-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY00002742",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8405326",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "AB36789",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.