Mary Ann Lewis-Walls

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

1058292 Issued in IN

Practice address

8820 W Smith St
Yorktown, IN 47396-1332

Phone

(765) 760-8819

NPI assigned

Oct 21, 2024

Last updated

Oct 21, 2024By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yorktown Community Schools

  • Local Education Agency (LEA)
  • Yorktown, IN
  • NPI 1770837965
  NPD (past)

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1659192920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 S BROADWAY ST",
            "city": "YORKTOWN",
            "state": "IN",
            "postal_code": "473961200",
            "telephone_number": "765-760-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 W SMITH ST",
            "city": "YORKTOWN",
            "state": "IN",
            "postal_code": "473961332",
            "telephone_number": "765-760-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-WALLS",
        "first_name": "MARY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IN",
            "license": "1058292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Michelle Kattner, MSW, LMHC
• Katherine Ann Keller
• Emily Jo Kiser, AU.D.
• Jessie Lee Kizer
• Tammy L Leazier, COTA
• Lifestream Services, Inc
• Pei-Yi Lin, PH.D.
• Lincare Inc.
• Mark A Litz, M.D.
• Raquel Lopez, NP

• School Psychologist in Yorktown, IN
• Providers in Yorktown, IN by specialty
• School Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.