Chyril Walker PHD PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

997 Issued in OR

Legal business name

CHYRIL WALKER PHD PC

Practice address

4466 NE Devils Lake Blvd
Ste a
Lincoln City, OR 97367-5197

Phone

(541) 557-2400

Fax

(541) 557-2399

NPI assigned

Nov 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Chyril Walker, PH.D.NPI 1013296847

Title

President

Phone

(541) 557-2400

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Chyril Walker PHD PC

  • Clinical Psychologist
  • Tigard, OR
  • NPI 1699019802

  O20121121000004

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chyril Walker, PH.D.

  • Clinical Psychologist
  • Tigard, OR
  • NPI 1013296847
  Medicare reassignment NPD Authorized official
• Julie Kay Applegate, PH.D.

  • Clinical Psychologist
  • Depoe Bay, OR
  • NPI 1851572762
  NPD (past)

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1992059133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 NE DEVILS LAKE BLVD",
            "address_2": "STE A",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973675197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4466 NE DEVILS LAKE BLVD",
            "address_2": "STE A",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973675197",
            "telephone_number": "541-557-2400",
            "fax_number": "541-557-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHYRIL WALKER PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CHYRIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-557-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "OR",
            "license": "997",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "997",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OR",
            "license": "997",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1013296847",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Braud Carter, RPH
• Kate Gillespie Case, PT
• Michael Golden Cheek, MD
• Amanda Suzanne Cherryholmes
• Christine Lynn McCambridge
• Patricia Cirello, RN
• Craig D Clark, M.D.
• Raleigh B Clough, PT
• Quinten Collins, DMD
• Confederated Tribes of Siletz

• Clinical Psychologist in Lincoln City, OR
• Providers in Lincoln City, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.