STANLEY F WALLACE (NPI# 1033265509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033265509 |
| Entity Type | Individual |
| Full Name | STANLEY F WALLACE |
| Credential | MD |
| Practice Address |
38 Hancock Street Bedford MA 01730 |
| Practice Telephone | 7812758900 |
| Practice Fax Number | 7812758900 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2010-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
47419 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0176982 | 05 |
| Street Address |
38 HANCOCK STREET |
| City | BEDFORD |
| State | MA |
| Zip Code | 01730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134779614 | Access Physical Therapy, LLC | Physical Therapist | 158 Great Rd Unit J, #661, Bedford, MA 01730 | 2019-09-16 |
| 1578113478 | Holly Babineau | Counselor | Building 7, Springs Rd, Bedford, MA 01730 | 2019-09-13 |
| 1205318656 | Ella Bitman | Social Worker | 9 Mudge Way, Bedford, MA 01730 | 2018-09-02 |
| 1578045928 | Abaigeal Doherty | Counselor | 205 Burlington Road, Bedford, MA 01730 | 2018-09-02 |
| 1669950853 | Patriot Urgent Care Professionals, PC | General Practice | 154 Great Road, Bedford, MA 01730 | 2018-07-31 |
| 1609369701 | Katharine Smidt | Psychologist | 61 Springs Rd, Bedford, MA 01730 | 2018-06-13 |
| 1043702053 | Bethel Care International Inc | Home Health Aide | 114 Page Rd, Bedford, MA 01730 | 2018-06-05 |
| 1689187064 | Lori Merlo | Physical Therapist | 6 Paul Revere Road, Bedford, MA 01730 | 2017-11-08 |
| 1093268260 | Patriot Urgent Care Professionals, PC | Clinic/Center | 160 Great Road, Unit 4a, Bedford, MA 01730 | 2016-07-25 |
| 1568839991 | Amy Bonneau | Social Worker | 59 Grenier St, Bldg 1509, Hanscom Afb, MA 01730 | 2015-09-02 |
| Find all providers in zip 01730 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043560642 | Crescent Psychiatry Pllc | Psychiatry & Neurology | 1604 Hospital Pkwy Ste 203, Bedford, TX 76022-6930 | 2012-09-12 |
| 1568506699 | Shahnhaz Saleem | Psychiatry & Neurology | 500 Gold Hawk Ln., Bedford, TX 76022 | 2007-02-20 |
| 1740329291 | Dubravko Matije Kuftinec | Psychiatry & Neurology | 69 Stowell Rd, Bedford, NH 03110-4716 | 2007-02-05 |
| 1326146960 | Shannon Johnson | Psychiatry & Neurology | 3901 Airport Fwy, Suite 320, Bedford, TX 76021-6117 | 2006-09-20 |
| 1144339417 | Jayakumar Patil | Psychiatry & Neurology | 80 Palomino Ln Ste 203, Bedford, NH 03110-6447 | 2006-08-30 |
| 1083625222 | Barbara Ann Walters | Psychiatry & Neurology | 1 Bedford Farms Dr, Bedford, NH 03110-6524 | 2006-08-11 |
| 1780613620 | Svetlana Droznin | Psychiatry & Neurology | 218 North Rd, Bedford, MA 01730-1024 | 2006-07-02 |
| 1487696076 | Centra Health Professional Services | Psychiatry & Neurology | 810 Blue Ridge Ave, Suite A, Bedford, VA 24523-2433 | 2006-06-11 |
| 1871530071 | Daniel M Teplin | Psychiatry & Neurology | 205 Burlington Rd, Bedford, MA 01730-1406 | 2006-05-31 |
| 1477512804 | Philip K. Wu | Psychiatry & Neurology | 7 Colby Ct # 7-153, Bedford, NH 03110-6427 | 2006-03-23 |
| Find all providers in BEDFORD | ||||
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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.