NPIMap

Organization Active NPI

Kimberly C. Walker, M.D.

  • Adult Mental Health Clinic/Center
  • Columbia, MD
National Provider Identifier
1730609140
Registry record updated Jun 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
D0073253 Issued in MD
Legal business name
KIMBERLY C. WALKER, M.D.
Doing business as
Kimberly C. Walker, M.D.
Practice address
10630 Little Patuxent Pkwy Ste 313
Columbia, MD 21044-6216
Phone
(240) 334-7650
Fax
(866) 700-7059
NPI assigned
Jun 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2017

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

Authorized official

Name
Dr. Kimberly Camille Walker, MDNPI 1306024930
Title
Owner
Phone
(240) 334-7650

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X D0073253 MD Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X D0073253 MD

Addresses

Primary practice location

10630 Little Patuxent Pkwy Ste 313
Columbia, MD 21044-6216

Mailing address

5325 Woodlot Rd
Columbia, MD 21044-5721
Phone (717) 497-4418

Other names 1

  • Kimberly C. Walker, M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

10630 Little Patuxent Pkwy
Ste 313
Columbia, MD 21044
Phone (240) 334-7650

Practitioners & affiliated clinicians

Practitioners 1

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": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498521600000",
    "number": "1730609140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 WOODLOT RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210445721",
            "telephone_number": "717-497-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY STE 313",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446216",
            "telephone_number": "240-334-7650",
            "fax_number": "866-700-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY C. WALKER, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-06-27",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "CAMILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-334-7650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": "D0073253",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MD",
            "license": "D0073253",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimberly C. Walker, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; 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.