MS. MARCY MARIE WALLACE (NPI# 1164737219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164737219 |
| Entity Type | Individual |
| Full Name | MS. MARCY MARIE WALLACE |
| Credential | LSSP, PA |
| Practice Address |
14340 Torrey Chase Blvd Ste 160 Houston TX 77014-1040 |
| Practice Telephone | 2815808086 |
| Practice Fax Number | 2815807129 |
| Mailing Telephone | 2815808086 |
| Mailing Fax Number | 2815807129 |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2010-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 30544 | TX | Behavioral Health & Social Service Providers |
| Street Address |
14340 TORREY CHASE BLVD STE 160 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77014-1040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150880 | Tiffanie L. James | Counselor | 14405 Walters Rd Suite 604, Houston, TX 77014 | 2020-06-30 |
| 1760961734 | Sharion Lenese White | Community Based Residential Treatment Facility, Mental Illness | 12514 Berry Laurel Lane, Houston, TX 77014 | 2018-08-10 |
| 1073018768 | V & V Medical Management | General Practice | 13626 Veterans Memorial Dr Ste F, Houston, TX 77014 | 2018-03-26 |
| 1679072649 | Ebony Burton | Behavior Technician | 3845 Cypress Creek Prkwy 215, Houston, TX 77014 | 2018-02-06 |
| 1457860108 | Henry A. Donald IIi | Assisted Living Facility | 2802 Wisner Cir., Houston, TX 77014 | 2017-09-26 |
| 1124567367 | Champions Serene Hcs, LLC | Assisted Living Facility | 13606 Walters Rd. Bldg 1-6 A-b, Houston, TX 77014 | 2017-02-21 |
| 1801338322 | P, M, & R Specialists of Texas | Psychologist | 14405 Walters, Ste A, Houston, TX 77014 | 2016-11-15 |
| 1720451271 | Stepping Stones Trasitional Living and Support Services | Custodial Care Facility | 13610 Walters Rd., Ste A, Houston, TX 77014 | 2015-11-05 |
| 1881077766 | Erin Cleveland | Pharmacist | 15655 Cypress Woods Med Dr, Suite #150, Houston, TX 77014 | 2015-07-09 |
| 1669879573 | Jacal & Associates | Counselor | 14405 Walters Rd., Ste. 602, Houston, TX 77014 | 2014-11-21 |
| Find all providers in zip 77014 | ||||
| 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 |
|---|---|---|---|---|
| 1659986495 | Kennetha L. Fry Phd Pllc | Psychologist | 2626 S Loop W Ste 545, Houston, TX 77054-2679 | 2020-09-09 |
| 1396361788 | Tyler Stone | Psychologist | 9515 Curry Landing Dr, Houston, TX 77095-7235 | 2020-06-22 |
| 1740818921 | Peter Simione | Psychologist | 7887 San Felipe St Ste 248, Houston, TX 77063-1621 | 2020-04-01 |
| 1316573629 | Tim Weissman | Psychologist | 9144 Spring Branch Dr Ste 103, Houston, TX 77080-7427 | 2020-03-18 |
| 1912540352 | Francesca Penner | Psychologist | 920 Frostwood Drive, Suite 670 and 680, Houston, TX 77024 | 2019-10-17 |
| 1922649334 | Amanda Rae Richter | Psychologist | 17030 Nanes Dr Ste 209, Houston, TX 77090-2533 | 2019-10-07 |
| 1962062018 | Michael Ralph Winters | Psychologist | 3435 Branard St Ste 202, Houston, TX 77027-6031 | 2019-06-19 |
| 1265998009 | Winsome Health Clinical Management LLC | Psychologist | 2925 Richmond Ave Ste 1200, Houston, TX 77098-3143 | 2019-02-18 |
| 1679046197 | Denis T Flanigan | Psychologist | 2211 Norfolk St Ste 206, Houston, TX 77098-4030 | 2019-01-08 |
| 1487129409 | Anita Payan | Psychologist | 6655 Travis St Ste 880, Houston, TX 77030-1344 | 2018-10-05 |
| Find all providers in HOUSTON | ||||
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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.