Dr Jamie Walter PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DR JAMIE WALTER PC

Practice address

958 N Leavitt St Unit 3
Chicago, IL 60622-4809

Phone

(847) 477-1967

NPI assigned

Jul 25, 2016

Last updated

Jul 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jamie Walter, PSYD

Title

Owner/Psychologist

Phone

(847) 477-1967

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1881147049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 N LEAVITT ST UNIT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224809",
            "telephone_number": "847-477-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 N LEAVITT ST UNIT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224809",
            "telephone_number": "847-477-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JAMIE WALTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-477-1967",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Francoise Martin LLC (Institute for Chiropractic Care)
• Dr Grace E Lee DMD LTD (Elite Dental Ltd)
• Dr Green LTD
• Dr Jacks Dental Lounge PLLC
• Dr Jacqueline Bardwell LTD
• Dr Janet Chandler LLC
• Dr Jeffrey J Betman Podiatric Physician and Surgeon PC
• Dr John F Kane Inc
• Dr Jose -Daniel Benatar M D
• Dr Joseph S Kim DPM

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.