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DR. NICOLLE S WALTERS PHD
NPI 1881752558
Psychologist - Clinical in Palm Desert, CA

Active since December 05, 2006PECOS Enrolled
77564 COUNTRY CLUB DR, SUITE 408, PALM DESERT, CA 92211(760) 898-2968(760) 345-3888 Get Directions Write a Review

NPPES record last updated: January 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nicolle S Walters Phd NPPES

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

DR. NICOLLE S WALTERS PHD (NPI 1881752558) is an individual clinical provider in Palm Desert, California, licensed in California (PSY15949) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881752558
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. NICOLLE S WALTERSCredential: PHD
Location Address77564 COUNTRY CLUB DR, SUITE 408Palm Desert, CA 92211-0484
Mailing Address77564 Country Club Dr, Suite 408Palm Desert, CA 92211-0484 · (760) 898-2968 · Fax (760) 345-3888
Phone(760) 898-2968
Fax(760) 345-3888
Sole ProprietorYes
Enumeration DateDecember 5, 2006
Last NPPES UpdateJanuary 15, 2015
✔ NPI 1881752558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY15949
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
77564 COUNTRY CLUB DR, Palm Desert, CA 92211
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Other Identifiers 2

Medicare UPINS62087
Medicare ID-Type Unspecified0PL159490CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicolle S Walters Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$179.42 typical visit price
range $59.60 – $179.42
Typical copayment $44.85 (range $14.90 – $44.85)
Most-billed visit code 99205
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANA E MELENDEZ OTR/L
Occupational Therapist
77564 COUNTRY CLUB DR, SUITE NUMBER 368B
PALM DESERT, CA 92211
Riverside County (760) 772-2838
DR. KOUROSH DIANATYAZDI DDS
Dentist (General Practice)
77564 COUNTRY CLUB DR, SUITE 350
PALM DESERT, CA 92211
Riverside County (760) 772-7082
KARAH ROSE SHOUSE OTR/L
Occupational Therapist
77564 COUNTRY CLUB DR
PALM DESERT, CA 92211
Riverside County (760) 772-2838
DESERT HOSPICE AND PALLIATIVE CARE, LLC
Hospice Care, Community Based
77564 COUNTRY CLUB DR, SUITE 219
PALM DESERT, CA 92211
Riverside County (760) 345-2225
ADRIANA TOSTADO
Occupational Therapy Assistant
77564 COUNTRY CLUB DR, SUITE 340
PALM DESERT, CA 92211
Riverside County (760) 772-2838
DIANATYAZDI & NADI PROFESSIONAL DENTAL CORPORATION
Dentist (General Practice)
77564 COUNTRY CLUB DR, STE 350
PALM DESERT, CA 92211
Riverside County (760) 772-7082
DAN G. WALTERS, M.D. A MEDICAL CORPORATION
Internal Medicine (Pulmonary Disease)
77564 COUNTRY CLUB DR, SUITE 408
PALM DESERT, CA 92211
Riverside County (760) 898-2968
JENNIFER HALCROW COTA
Occupational Therapy Assistant
77564 COUNTRY CLUB DR
PALM DESERT, CA 92211
Riverside County (760) 772-2838

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 Nicolle Walters's NPI number?

The NPI number for Nicolle Walters is 1881752558. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Nicolle Walters located?

Nicolle Walters practices at 77564 Country Club Dr Suite 408, Palm Desert, CA 92211. The listed phone number is (760) 898-2968.

What is Nicolle Walters's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Nicolle Walters enrolled in Medicare?

Yes. Nicolle Walters is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicolle Walters was last updated on January 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.