Individual provider Active NPI

Michael Walker, PH.D.

  • Psychologist
  • Butner, NC
National Provider Identifier
1811438823
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3402 Issued in NC
Practice address
1600 E C St
Murdoch Developmental Center, Psychology Services
Butner, NC 27509-2530
Phone
(919) 575-1255
NPI assigned
Mar 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3402 NC Primary

Addresses

Primary practice location

1600 E C St
Murdoch Developmental Center, Psychology Services
Butner, NC 27509-2530

Mailing address

1600 E C St
Murdoch Developmental Center, Psychology Services
Butner, NC 27509-2530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3402NCMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1811438823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E C ST",
            "address_2": "MURDOCH DEVELOPMENTAL CENTER, PSYCHOLOGY SERVICES",
            "city": "BUTNER",
            "state": "NC",
            "postal_code": "275092530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E C ST",
            "address_2": "MURDOCH DEVELOPMENTAL CENTER, PSYCHOLOGY SERVICES",
            "city": "BUTNER",
            "state": "NC",
            "postal_code": "275092530",
            "telephone_number": "919-575-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.