Individual provider Active NPI

Linda Margaret Chalk, PH.D.

  • Clinical Psychologist
  • Carlisle, PA
National Provider Identifier
1528291259
Registry record updated Aug 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS-008627-L Issued in PA
Practice address
1200 Walnut Bottom Rd
Suite 311
Carlisle, PA 17015-7766
Phone
(717) 243-1511
Fax
(717) 243-1530
NPI assigned
Aug 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2009

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 PS-008627-L PA Primary

Addresses

Primary practice location

1200 Walnut Bottom Rd
Suite 311
Carlisle, PA 17015-7766

Mailing address

1200 Walnut Bottom Rd
Suite 311
Carlisle, PA 17015-7766
Phone (717) 243-1511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20091002000115 PA Practitioner - Clinical Psychologist 3971649047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland Valley Counseling Associates PC 3 clinicians

Practice addresses (Care Compare)

1200 Walnut Bottom Rd
Stoner BLDG Suite 311
Carlisle, PA 17015-7766
Phone (717) 243-1511

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS-008627-LPAMDClinical Psychologist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251417600000",
    "number": "1528291259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WALNUT BOTTOM RD",
            "address_2": "SUITE 311",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157766",
            "telephone_number": "717-243-1511",
            "fax_number": "717-243-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WALNUT BOTTOM RD",
            "address_2": "SUITE 311",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157766",
            "telephone_number": "717-243-1511",
            "fax_number": "717-243-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALK",
        "first_name": "LINDA",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-28",
        "last_updated": "2009-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-008627-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.