Organization Active NPI

Walyko Psychological Associates, Inc.

  • Adult Mental Health Clinic/Center
  • Greenville, NC
National Provider Identifier
1598901159
Registry record updated Dec 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
1699 Issued in NC
Legal business name
WALYKO PSYCHOLOGICAL ASSOCIATES, INC.
Practice address
3485 S Evans St
Greenville, NC 27834-4532
Phone
(252) 353-6277
Fax
(252) 353-6511
NPI assigned
Dec 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2008

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

Authorized official

Name
Ms. Charlotte Reeves Walyko, M.A.
Title
Licensed Psychological Associate
Phone
(252) 937-7661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 1699 NC Primary

Addresses

Primary practice location

3485 S Evans St
Greenville, NC 27834-4532

Mailing address

220 Emerson Dr
Rocky Mount, NC 27803-2234
Phone (252) 937-7661

Other identifiers 3

IdentifierTypeStateIssuer
04579OtherNCBLUE CROSS BLUE SHIELD
E4385OtherNCMEDCOST
6107008MedicaidNC

National Provider Directory

National Provider Directory

Locations

3485 Evans St
Greenville, NC 27834
Phone (252) 353-6277

NPI Registry JSON

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

{
    "created_epoch": "1230681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230681600000",
    "number": "1598901159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 EMERSON DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278032234",
            "telephone_number": "252-937-7661",
            "fax_number": "252-353-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 S EVANS ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344532",
            "telephone_number": "252-353-6277",
            "fax_number": "252-353-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALYKO PSYCHOLOGICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-31",
        "last_updated": "2008-12-31",
        "status": "A",
        "authorized_official_last_name": "WALYKO",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "REEVES",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGICAL ASSOCIATE",
        "authorized_official_telephone_number": "252-937-7661",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "1699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "04579",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "E4385",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107008",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2008; 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.