Marianne F Walters, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

014114-1 Issued in NY

Practice address

222 Prospect Ave
Sea Cliff, NY 11579-1048

Phone

(516) 671-3830

NPI assigned

Dec 11, 2006

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

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Psychologist

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447310610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 PROSPECT AVE",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791048",
            "telephone_number": "516-609-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PROSPECT AVE",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791048",
            "telephone_number": "516-671-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "MARIANNE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "014114-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02096353",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Athena Vaccaro, M.S., P.T
• Nancy Warren Van Dyke, LCSW
• Pia Theresa Viana, SLP
• Judith Voelpel, MS CCC-SLP
• Ian Wall
• Jacqueline Maria Warren, LCSW, CASAC
• Marguerite Weisberg, LCSW
• Elizabeth Anne Wezwick, MS
• Donna Davis Whelan, SLP
• Elsie Marie Witt-Bockler, M.D.

• Clinical Psychologist in Sea Cliff, NY
• Providers in Sea Cliff, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.