Individual provider Active NPI

Douglas W Walker, PH.D.

  • Clinical Psychologist
  • Metairie, LA
National Provider Identifier
1417097353
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
801 Issued in LA
Practice address
110 Veterans Memorial Blvd Ste 425
Metairie, LA 70005-4959
Phone
(504) 838-8283
NPI assigned
Feb 8, 2007
Last updated
Jul 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 801 LA Primary

Addresses

Primary practice location

110 Veterans Memorial Blvd Ste 425
Metairie, LA 70005-4959

Mailing address

308 Girod St
Mandeville, LA 70448-5813
Phone (985) 727-7993

Other practice location 1

1445 W Causeway Approach
Mandeville, LA 70471-3045
Phone (985) 727-7993

Other identifiers 1

IdentifierTypeStateIssuer
801OtherLALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130723000477 LA Practitioner - Clinical Psychologist 2961643671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Family CenterGroup PAC ID 8426296849, 9 clinicians

Practice addresses (Care Compare)

110 Veterans Memorial Blvd
Metairie, LA 70005-3027
Phone (504) 838-8283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Family Center Clinical CurrentSince Feb 9, 2017 Accepting new patients
Sisters of Mercy Ministries D/B/a Mercy Family Center PastSince Aug 6, 2023 Accepting new patients

Locations

1445 W Causeway Approach
Mandeville, LA 70471
Phone (504) 533-4999

110 Veterans Memorial Blvd
Metairie, LA 70005
Phone (504) 838-8283

110 Veterans Memorial Blvd
Ste 425
Metairie, LA 70005
Phone (504) 838-8283

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1417097353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 GIROD ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704485813",
            "telephone_number": "985-727-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 VETERANS MEMORIAL BLVD STE 425",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700054959",
            "telephone_number": "504-838-8283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1445 W Causeway Approach",
            "address_purpose": "LOCATION",
            "city": "Mandeville",
            "state": "LA",
            "postal_code": "704713045",
            "country_code": "US",
            "telephone_number": "985-727-7993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DOUGLAS",
        "middle_name": "W",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "801",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.