Walters Psychological LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35S100548200 Issued in NJ

Legal business name

WALTERS PSYCHOLOGICAL LLC

Practice address

504 Aldrich Rd
Howell, NJ 07731-1978

Phone

(848) 231-9460

NPI assigned

Jan 3, 2017

Organization subpart

No

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

Authorized official

Name

Christina Walters, PSY.D.NPI 1861872418

Title

Clinical Psychologist

Phone

(848) 231-9460

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 5

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

• Christina Walters, PSY.D.

  • Clinical Psychologist
  • Howell, NJ
  • NPI 1861872418
  Medicare reassignment Care Compare group NPD Authorized official
• Shirley J Lozano Nelson, MSW, LCSW

  • Clinical Social Worker
  • Howell, NJ
  • NPI 1376730879
  Medicare reassignment Care Compare group NPD
• April Lorraine Graham

  • Professional Counselor
  • Brick, NJ
  • NPI 1003403502
  NPD (past)
• Christopher David Nelson, MSW, LSW

  • Social Worker
  • Howell, NJ
  • NPI 1639844830
  NPD (past)
• Alyssa Viscione, LCSW

  • Clinical Social Worker
  • Howell, NJ
  • NPI 1598515181
  NPD (past)

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1790220598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 ALDRICH RD",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077311978",
            "telephone_number": "848-231-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 ALDRICH RD",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077311978",
            "telephone_number": "848-231-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTERS PSYCHOLOGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "848-231-9460",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100548200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2195)
• Wal-Mart Stores East, LP. (Walmart pharmacy 10-3164)
• Walgreen Co (Walgreens #13722)
• Walgreen Co (Walgreens #10861)
• Walgreen Co (Walgreens #9649)
• Christina Walters, PSY.D.
• Well Brandywine Howell, LLC (Brandywine Living at Howell)
• Patricia Lee Wesch, APN
• Emily M Whille, LSW
• Jarett White, PHD

• Clinical Psychologist in Howell, NJ
• Providers in Howell, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.