Organization Active NPI

Chyril Walker PHD PC

  • Clinical Psychologist
  • Tigard, OR
National Provider Identifier
1699019802
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
997 Issued in OR
Legal business name
CHYRIL WALKER PHD PC
Practice address
6950 SW Hampton St
Ste 319
Tigard, OR 97223-8329
Phone
(971) 313-2094
Fax
(503) 620-8119
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Dr. Chyril Walker, PH.D.NPI 1013296847
Title
President
Phone
(971) 313-2094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X 997 OR
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 997 OR Primary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X 997 OR

Addresses

Primary practice location

6950 SW Hampton St
Ste 319
Tigard, OR 97223-8329

Mailing address

6950 SW Hampton St
Ste 319
Tigard, OR 97223-8329
Phone (971) 313-2094

Other identifiers 1

IdentifierTypeStateIssuer
1013296847OtherORNPI TYPE 1

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121121000004 OR Part B Supplier - Clinic/Group Practice 3274784285 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lincoln City, OR; McMinnville, OR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1699019802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 SW HAMPTON ST",
            "address_2": "STE 319",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238329",
            "telephone_number": "971-313-2094",
            "fax_number": "503-620-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 SW HAMPTON ST",
            "address_2": "STE 319",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238329",
            "telephone_number": "971-313-2094",
            "fax_number": "503-620-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHYRIL WALKER PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CHYRIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "971-313-2094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "OR",
            "license": "997",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "997",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OR",
            "license": "997",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1013296847",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.