Individual provider Active NPI

Michael R Walker, ED.D.

  • Psychologist
  • Arlington, TX
National Provider Identifier
1447381629
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
22674 Issued in TX
Practice address
6702 W Poly Webb Rd
Arlington, TX 76016-3615
Phone
(817) 478-0095
Fax
(817) 478-2768
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 22674 TX Primary

Addresses

Primary practice location

6702 W Poly Webb Rd
Arlington, TX 76016-3615

Mailing address

6702 W Poly Webb Rd
Arlington, TX 76016-3615
Phone (817) 478-0095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100306000145 TX Practitioner - Clinical Psychologist 6800931445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Texas a & M University System, HSC, College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Arlington Center for Pain ManagementGroup PAC ID 3971648866, 3 clinicians

Practice addresses (Care Compare)

6702 W Poly Webb Rd
North Texas Pain Recovery Center
Arlington, TX 76016-3615
Phone (817) 478-0095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Arlington Center for Pain Management CurrentSince Dec 30, 2009 Accepting new patients
Lake Arlington Holding Company PastSince Jul 25, 2017 Accepting new patients

Locations

6702 W Poly Webb Rd
Arlington, TX 76016
Phone (817) 478-0095

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447381629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6702 W POLY WEBB RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760163615",
            "telephone_number": "817-478-0095",
            "fax_number": "817-478-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6702 W POLY WEBB RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760163615",
            "telephone_number": "817-478-0095",
            "fax_number": "817-478-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "22674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.