Active NPI
Kimberly Alison Walker, PHD
- Cognitive & Behavioral Psychologist
- Cornwall, VT
National Provider Identifier
1831237387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- NACBT12574
- Practice address
- 89 Ridge Rd
Cornwall, VT 05753 - Phone
- (617) 365-3144
- Fax
- (802) 462-3816
- NPI assigned
- Feb 4, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4985 | MA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | NACBT12574 | Primary | |
| Counseling Psychologist | 103TC1900X | 068-0059717 | VT | |
| Group Psychotherapy Psychologist | 103TP2701X | 068-0059717 | VT |
Addresses
Primary practice location
89 Ridge Rd
Cornwall, VT 05753
Mailing address
89 Ridge Rd
Cornwall, VT 05753
Phone (617) 365-3144
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4985 | MA | MD | Mental Health Counselor |
| 068-0059717 | VT | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1831237387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 RIDGE RD",
"city": "CORNWALL",
"state": "VT",
"postal_code": "05753",
"telephone_number": "617-365-3144",
"fax_number": "802-462-3816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 RIDGE RD",
"city": "CORNWALL",
"state": "VT",
"postal_code": "05753",
"telephone_number": "617-365-3144",
"fax_number": "802-462-3816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "KIMBERLY",
"middle_name": "ALISON",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-04",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "4985",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": "NACBT12574",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "VT",
"license": "068-0059717",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "VT",
"license": "068-0059717",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cornwall, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.