Diane M Walker, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY 5049 Issued in FL

Practice address

6655 S US Highway 1
Grant, FL 32949-2221

Phone

(321) 693-3325

Fax

(321) 956-7571

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Diane M Walker Professional name

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• A Place Like Home, Alf

  dba A Place Like Home

  • Assisted Living Facility
  • Palm Bay, FL
  • NPI 1144563016
  NPD (past) Authorized official
• Diane M. Walker Psy. D. P.a.

  • Psychologist
  • Grant, FL
  • NPI 1669727772
  NPD
• Brooke Park Clinic

  dba Robert G. Shumaker, Ph.D.

  • Clinical Psychologist
  • Boca Raton, FL
  • NPI 1295786523
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1427198233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 S US HIGHWAY 1",
            "city": "GRANT",
            "state": "FL",
            "postal_code": "329492221",
            "telephone_number": "321-693-3325",
            "fax_number": "321-956-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 S US HIGHWAY 1",
            "city": "GRANT",
            "state": "FL",
            "postal_code": "329492221",
            "telephone_number": "321-693-3325",
            "fax_number": "321-956-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DIANE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 5049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "59541",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "WALKER",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jorge Rafael Ortega
• Yessenia Ortega, NURSE
• Holiday Amber Slingsby, WHNP
• Space Coast Skin Solutions LLC
• Therapy Direct Inc

• Psychologist in Grant, FL
• Providers in Grant, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.