Robert James Walsh, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20041091A Issued in IN

Practice address

1100 S Calumet Rd
Suite 3
Chesterton, IN 46304-3275

Phone

(219) 921-5400

Fax

(219) 926-8141

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Comprehensive Psychology Services, P.C.

  • Clinical Psychologist
  • Chesterton, IN
  • NPI 1659435873
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548321037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S CALUMET RD",
            "address_2": "SUITE 3",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463043275",
            "telephone_number": "219-921-5400",
            "fax_number": "219-926-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S CALUMET RD",
            "address_2": "SUITE 3",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463043275",
            "telephone_number": "219-921-5400",
            "fax_number": "219-926-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20041091A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Michelle Waldron-Zimmerman
• Walgreen Co
• Kristian D Walker, PHARM.D. R.PH.
• Steven P Walker, DDS
• Corey James Wallace, RBT
• Ashley Walton, RBT
• Laci Wardrip-Vucich
• Natalie Joelle Wargo, D.D.S.
• Brittany Warnke, M.A.,CF-SLP
• Laura Wassilak, DPT

• Clinical Psychologist in Chesterton, IN
• Providers in Chesterton, IN by specialty
• Clinical Psychologist in Indiana

• 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.