Active NPI
Linda Margaret Chalk, PH.D.
- Clinical Psychologist
- Carlisle, PA
National Provider Identifier
1528291259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS-008627-L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS-008627-L | PA | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; 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.