Active NPI
Craig Warren Walters, RN
- Psychiatry Physician
- Sleepy Hollow, NY
National Provider Identifier
1578806261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 660556
- Practice address
- 126 Valley Street 1E
Sleepy Hollow, NY 10591 - Phone
- (917) 631-0273
- NPI assigned
- Apr 1, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 660556 | NY | Primary |
Addresses
Primary practice location
126 Valley Street 1E
Sleepy Hollow, NY 10591
Mailing address
126 Valley St Apt 1E
Sleepy Hollow, NY 10591-2826
Phone (917) 631-0273
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 660556 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364774400000",
"number": "1578806261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 VALLEY ST APT 1E",
"city": "SLEEPY HOLLOW",
"state": "NY",
"postal_code": "105912826",
"telephone_number": "917-631-0273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 VALLEY STREET 1E",
"city": "SLEEPY HOLLOW",
"state": "NY",
"postal_code": "10591",
"telephone_number": "917-631-0273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "CRAIG",
"middle_name": "WARREN",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-01",
"last_updated": "2013-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "660556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sleepy Hollow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.