Active NPI
Jane Houghtaling Walker, PHD.
- Clinical Psychologist
National Provider Identifier
1821193319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071006535
- Practice address
- 18TH Medical Group
Unit 5142
Apo, AP 96368 - Phone
- (315) 634-3272
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071006535 | IL | Primary |
Addresses
Primary practice location
18TH Medical Group
Unit 5142
Apo, AP 96368
Mailing address
PSC 80 Box 14515
Apo, AP 96367-0048
Phone (630) 624-2577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02232380 | Other | IL | BCBS PROVIDER # |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071006535 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Families United, Inc. | Past | Accepting new patients | |
| Mary Beth McLaughlin,LTD | Past | Accepting new patients | |
| Integrative Counseling & Psychological Services,PC | Clinical | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Attica, IN
- NPI 1003121781
-
- Clinical Psychologist
- Aurora, IL
- NPI 1235234733
-
- Clinical Social Worker
- Naperville, IL
- NPI 1104921683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618185600000",
"number": "1821193319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "PSC 80 BOX 14515",
"city": "APO",
"state": "AP",
"postal_code": "963670048",
"telephone_number": "630-624-2577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "MIL",
"address_1": "18TH MEDICAL GROUP",
"address_2": "UNIT 5142",
"city": "APO",
"state": "AP",
"postal_code": "96368",
"telephone_number": "315-634-3272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "JANE",
"middle_name": "HOUGHTALING",
"credential": "PHD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2021-04-12",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071006535",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "02232380",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.