Organization Active NPI

Psychopharmacology Consultant LLC

  • Psychiatry Physician
  • Rochester, MN
National Provider Identifier
1821637869
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PSYCHOPHARMACOLOGY CONSULTANT LLC
Practice address
1151 Golfers CT SE
Rochester, MN 55904-8014
Phone
(507) 316-1209
Fax
(507) 262-1250
NPI assigned
Dec 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Dr. Richard O. Walker Jr., M.D.NPI 1508283219
Title
Owner
Phone
(507) 316-1209

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1151 Golfers CT SE
Rochester, MN 55904-8014

Mailing address

1151 Golfers CT SE
Rochester, MN 55904-8014
Phone (507) 316-1209

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200124000275 MN Part B Supplier - Clinic/Group Practice 9335574177 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester, MN

National Provider Directory

National Provider Directory

Locations

1082 Highway 3 S
Northfield, MN 55057
Phone (507) 301-6657

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": "1576886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1821637869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 GOLFERS CT SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559048014",
            "telephone_number": "507-316-1209",
            "fax_number": "507-262-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 GOLFERS CT SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559048014",
            "telephone_number": "507-316-1209",
            "fax_number": "507-262-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOPHARMACOLOGY CONSULTANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-21",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-316-1209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.