Individual provider Active NPI

Warren R Walker, PH.D.

  • Psychologist
  • Westlake Village, CA
National Provider Identifier
1528286234
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY4892 Issued in CA
Practice address
699 Hampshire Rd
Ste. 215
Westlake Village, CA 91361-2379
Phone
(805) 497-3155
Fax
(805) 371-4875
NPI assigned
Apr 20, 2007
Last updated
Oct 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY4892 CA Primary

Addresses

Primary practice location

699 Hampshire Rd
Ste. 215
Westlake Village, CA 91361-2379

Mailing address

699 Hampshire Rd
Ste. 215
Westlake Village, CA 91361-2379
Phone (805) 497-3155

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

LicenseStateTypeSpecialty
PSY4892CAMDPsychologist
4892CAMDPhysical Rehabilitation Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1528286234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 HAMPSHIRE RD",
            "address_2": "STE. 215",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612379",
            "telephone_number": "805-497-3155",
            "fax_number": "805-371-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 HAMPSHIRE RD",
            "address_2": "STE. 215",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612379",
            "telephone_number": "805-497-3155",
            "fax_number": "805-371-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "WARREN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY4892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.