Nicolle S. Walters, PHD
NPI 1881752558ActiveIndividual· Psychologist, Clinical· Palm Desert, CA
Psychologist, Clinical (PHD) with Sud Specialty Group - Ca, practicing in Palm Desert, California. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1881752558 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | Yes |
| NPI issued | Dec 5, 2006 |
| Last updated in NPPES | Jan 15, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY15949 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Sud Specialty Group - CaSanta Clara, CA · 568 clinicians
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