DR. MAUREEN ELIZABETH WALLACE (NPI# 1184854549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184854549 |
| Entity Type | Individual |
| Full Name | DR. MAUREEN ELIZABETH WALLACE |
| Credential | PH.D. |
| Practice Address |
423 W 55th St 4th Floor New York NY 10019-4460 |
| Practice Telephone | 2129945100 |
| Mailing Telephone | 2129945100 |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2009-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366599334 | Maureen Wallace | Social Worker | 919 Village Center, Ste 7, Lafayette, CA 94549-3599 | 2007-01-04 |
| 1396761995 | Maureen V Wallace | Physical Therapist | 2430 N. 7th, Unit 2, Bozeman, MT 59715 | 2006-07-15 |
| 1073559399 | Maureen Wallace | Physician Assistant | 514 E Whitehouse Canyon Rd Ste 110, Green Valley, AZ 85614-0539 | 2006-06-22 |
| 1952424525 | Maureen Kay Wallace | Physician Assistant | 6624 Fannin St, Suite 2400, Houston, TX 77030-2312 | 2007-04-09 |
| 1932298452 | Maureen L Wallace | Audiologist | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2006-10-12 |
| 1790722015 | Maureen Patricia Wallace | Dietitian, Registered | 753 Virginia St, Dunedin, FL 34698-6615 | 2006-06-02 |
| Street Address |
423 W 55TH ST 4TH FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10019-4460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760594295 | Jonathan David Sackner-bernstein | Internal Medicine | 423 W 55th St, 4th Floor, New York, NY 10019-4460 | 2006-08-31 |
| 1891107272 | Nationwide Sleep Testing LLC | Clinic/Center | 423 W 55th St, New York, NY 10019-4460 | 2014-05-20 |
| 1265776520 | Home Sleep and Respiratory Care LLC | Durable Medical Equipment & Medical Supplies | 423 W 55th St, New York, NY 10019-4460 | 2012-11-26 |
| 1710193610 | Maha Ahmad | Psychiatry & Neurology | 423 W 55th St, 4th Floor, New York, NY 10019-4460 | 2007-05-15 |
| 1053538181 | Nina A Konstantinova | Internal Medicine | 423 W 55th St, New York, NY 10019-4460 | 2007-04-19 |
| 1508989096 | Jon Tyler Freeman | Psychologist | 423 W 55th St, Floor 4, New York, NY 10019-4460 | 2007-04-09 |
| 1427170141 | Medical Service Practice | Clinic/Center | 423 W 55th St, Floor 4, New York, NY 10019-4460 | 2007-04-04 |
| 1063562759 | Stephen Arthur Lund | Psychiatry & Neurology | 423 W 55th St, 4th Floor, New York, NY 10019-4460 | 2007-01-12 |
| 1346391984 | Clinilabs Com Inc | Clinic/Center | 423 W 55th St, 4th Floor, New York, NY 10019-4460 | 2007-01-12 |
| 1033260674 | Gary Kenneth Zammit | Psychologist | 423 W 55th St, 4th Floor, New York, NY 10019-4460 | 2007-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391486 | Central Park Gyn | Obstetrics & Gynecology | 233 W 58th Street, New York, NY 10019 | 2019-11-25 |
| 1336794486 | Olivia Mandelbaum | Psychologist | Citpd At Mount Sinai West Hospital, 1000 10th Avenue, New York, NY 10019 | 2019-08-06 |
| 1740835958 | Kara Kaplan | Physical Medicine & Rehabilitation | 1 W 59th Street, Level A, La Palestra, New York, NY 10019 | 2019-08-05 |
| 1376196048 | Dyan Lesley Diemer | Massage Therapist | The Positive Mind Center, 119 West 57th Street Suite 1100, New York, NY 10019 | 2019-07-22 |
| 1144882499 | Tomohiro Fujisaki | Student in an Organized Health Care Education/Training Program | 1000, 10th Avenue, 3rd Floor 3a-08, New York, NY 10019 | 2019-07-07 |
| 1558823070 | Nazanin Khajoueinejad | Student in an Organized Health Care Education/Training Program | 425 West 59th Street, 7th Floor, Department of Surgery, New York, NY 10019 | 2019-04-03 |
| 1356801153 | Nicholas Theodoropoulos | Student in an Organized Health Care Education/Training Program | 1000 10th Avenue, 3rd Floor, 3a-08, New York, NY 10019 | 2019-03-20 |
| 1265990345 | Prohealth Care Associates, LLP | Occupational Therapist | 244-250 West 54th Street, Suite 404, New York, NY 10019 | 2019-03-07 |
| 1043784804 | Dr Rosemarie Zimmerman & Dr Andriy Krayniy Pllc | Dentist | 135 West 58 Street, Suite 1d, Nyc, NY 10019 | 2019-01-15 |
| 1053881680 | Mary Pender Greene | Social Worker | 311a West 50 Street, New York, NY 10019 | 2018-11-27 |
| Find all providers in zip 10019 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031488 | John Raymond Keefe | Psychologist | 205 E 95th St Apt 6c, New York, NY 10128-0233 | 2020-10-19 |
| 1477150035 | Laura Joy Kaplan | Psychologist | 1619 3rd Ave Apt 29h, New York, NY 10128-3942 | 2020-10-07 |
| 1346852514 | Alicia Eminia Ramirez | Psychologist | 319 E 14th St Apt 1b, New York, NY 10003-4227 | 2020-08-19 |
| 1386253144 | Rachel L Adams | Psychologist | 270 Fort Washington Ave Apt 42, New York, NY 10032-1310 | 2020-07-28 |
| 1588281851 | Rachel Lynn Goldman | Psychologist | 315 E 62nd St Rm 5, New York, NY 10065-7767 | 2020-07-02 |
| 1558987941 | Kevin Rustam | Psychologist | 100 W 18th St Apt 5f, New York, NY 10011-5475 | 2020-06-22 |
| 1285250035 | Yaakov Weiner | Psychologist | 215 W 108th St Apt B2, New York, NY 10025-2982 | 2020-06-17 |
| 1790308864 | Ayelet Boussi | Psychologist | 270 Lafayette St Ste 702, New York, NY 10012-3384 | 2020-05-24 |
| 1740803089 | Ronald Joseph Saleh | Psychologist | 203 W 107th St Apt 9b, New York, NY 10025-3026 | 2020-05-21 |
| 1366062440 | Emily Bridget-polidore Reese | Psychologist | 11 Jay St Apt 3, New York, NY 10013-2847 | 2020-04-20 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.