Active NPI
Larry Dean Walker, PH.D.
- Psychologist
- Reno, NV
National Provider Identifier
1982656831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY0692
- Practice address
- 85 Kirman Ave Ste 200
Reno, NV 89502-1339 - Phone
- (775) 982-2862
- Fax
- (775) 982-2865
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH5282 | FL | |
| Psychologist | 103T00000X | PS04738-L | PA | |
| Psychologist | 103T00000X | PSY22181 | CA | |
| Psychologist | 103T00000X | PSY003253 | GA | |
| Psychologist | 103T00000X | PY0692 | NV | Primary |
Addresses
Primary practice location
85 Kirman Ave Ste 200
Reno, NV 89502-1339
Mailing address
850 Harvard Way
Reno, NV 89502-2055
Phone (775) 982-5262
Other practice location 1
820 Ebenezer Church Rd Ste 110
Sharpsburg, GA 30277-2073
Phone (706) 889-3997
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11388219 | Other | CAQH | |
| 1982656831 | Medicaid | NV |
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 |
|---|---|---|---|
| MH5282 | FL | MD | Mental Health Counselor |
| PSY22181 | CA | MD | Psychologist |
| PSY003253 | GA | MD | Psychologist |
| PY0692 | NV | MD | Psychologist |
| PS04738-L | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
Interoperability endpoints
- larrywalker@tdh.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534464000000",
"number": "1982656831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 HARVARD WAY",
"city": "RENO",
"state": "NV",
"postal_code": "895022055",
"telephone_number": "775-982-5262",
"fax_number": "775-982-5496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 KIRMAN AVE STE 200",
"city": "RENO",
"state": "NV",
"postal_code": "895021339",
"telephone_number": "775-982-2862",
"fax_number": "775-982-2865"
}
],
"practiceLocations": [
{
"address_1": "820 Ebenezer Church Rd Ste 110",
"address_purpose": "LOCATION",
"city": "Sharpsburg",
"state": "GA",
"postal_code": "302772073",
"country_code": "US",
"telephone_number": "706-889-3997",
"fax_number": "888-501-7276",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "LARRY",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2018-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH5282",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS04738-L",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY22181",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY003253",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NV",
"license": "PY0692",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11388219",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982656831",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.