Active NPI
Walyko Psychological Associates, Inc.
- Adult Mental Health Clinic/Center
- Greenville, NC
National Provider Identifier
1598901159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 1699
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04579 | Other | NC | BLUE CROSS BLUE SHIELD |
| E4385 | Other | NC | MEDCOST |
| 6107008 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
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.