LYNDA S. WALLS, PH.D., INC.
NPI 1245598499
Psychologist in Jacksonville, FL

Active since April 25, 2012
931 CASSAT AVE, JACKSONVILLE, FL 32205(904) 388-2828 Get Directions Write a Review

NPPES record last updated: April 25, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lynda S. Walls, Ph.d., Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYNDA S. WALLS, PH.D., INC. (NPI 1245598499) is a healthcare organization registered as a psychologist in Jacksonville, Florida and active in the NPI registry since April 2012. The organization lists Lynda Smith Walls, Owner, as its authorized official.

NPPES Registry Identity

NPI1245598499
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameLYNDA S. WALLS, PH.D., INC.
Location Address931 CASSAT AVEJacksonville, FL 32205-4857
Mailing Address13018 Viburnum Dr NJacksonville, FL 32246-1144 · (904) 536-8095
Organization SubpartNo
Authorized OfficialLynda Smith WallsOwner · (904) 536-8095
Enumeration DateApril 25, 2012
✔ NPI 1245598499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in FL · 4887
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
931 CASSAT AVE, Jacksonville, FL 32205

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lynda S. Walls, Ph.d., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20120426000161Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lynda S. Walls, Ph.D., Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychologist Billing Independently
NPI 1184722217
931 CASSAT AVE
Jacksonville, FL 32205
(904) 388-2828
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lynda S. Walls, Ph.D., Inc.'s NPI number?

The NPI number for Lynda S. Walls, Ph.D., Inc. is 1245598499. It was assigned to this organization in the NPPES registry on April 25, 2012.

Where is Lynda S. Walls, Ph.D., Inc. located?

Lynda S. Walls, Ph.D., Inc. is located at 931 Cassat Ave, Jacksonville, FL 32205. The listed phone number is (904) 388-2828.

What is Lynda S. Walls, Ph.D., Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Lynda S. Walls, Ph.D., Inc. enrolled in Medicare?

Yes. Lynda S. Walls, Ph.D., Inc. is registered in the Medicare PECOS enrollment system.

When is Lynda S. Walls, Ph.D., Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Lynda S. Walls, Ph.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychologist Billing Independently) reassigns their Medicare billing to Lynda S. Walls, Ph.D., Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lynda S. Walls, Ph.D., Inc. was last updated on April 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.