DR. WILLIAM L WALLACE (NPI# 1366597635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366597635 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM L WALLACE |
| Credential | PHD |
| Practice Address |
1448 15th St Suite 203 Santa Monica CA 90404-2756 |
| Practice Telephone | 3104512107 |
| Practice Fax Number | 3104519665 |
| Mailing Telephone | 3104512107 |
| Mailing Fax Number | 3104519665 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY6312 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518500834 | William J Wallace Jr. | Chiropractor | 22415 Market St Apt 1406, Cornelius, NC 28031-3028 | 2019-10-18 |
| 1851740609 | William Robert Wallace | Internal Medicine | 20828 W Deer Ridge Dr, Warrenton, MO 63383-6548 | 2016-06-11 |
| 1093143745 | William Dean Wallace | Pathology | 747 W 4170 S, Murray, UT 84123-1364 | 2013-10-16 |
| 1255765194 | William Wallace | Counselor | 318 S Oak, California, MO 65018 | 2013-08-28 |
| 1598028474 | William Todd Wallace | Physical Therapist | 8225 Coyote Trl, Texarkana, TX 75503-9657 | 2012-06-16 |
| 1184842627 | William Arthur Wallace Jr. | Surgery | 1679 Eagle Harbor Pkwy, Suite C, Fleming Island, FL 32003-4815 | 2007-04-22 |
| 1013087121 | William R Wallace | Chiropractor | 139 Morristown Rd, Bernardsville, NJ 07924-2606 | 2006-11-08 |
| 1508880493 | William C Wallace | Physical Therapist | 1113 N Castle Heights Ave, Suite D, Lebanon, TN 37087-5640 | 2006-07-26 |
| 1437184017 | William H. Wallace | Legal Medicine | 1421 N State St # St.1, Ste. 504, Jackson, MS 39202-1658 | 2006-07-11 |
| 1225087562 | William E Wallace | Surgery | 2000 Ben Merritt Dr, Suite B, Decatur, TX 76234-3848 | 2006-05-06 |
| Street Address |
1448 15TH ST SUITE 203 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184733818 | Amy Fee Physical Therapy Inc | Physical Therapist | 1448 15th St, Suite 101, Santa Monica, CA 90404-2756 | 2006-08-29 |
| 1740579754 | Kirsten K. Mackey | Family Medicine | 1448 15th St, Suite 207, Santa Monica, CA 90404-2756 | 2011-03-30 |
| 1649590274 | Roseann Dembeck | Chiropractor | 1448 15th St, Ste. #201, Santa Monica, CA 90404-2756 | 2010-06-05 |
| 1104154699 | Kathryn E. Gill | Family Medicine | 1448 15th St, Suite 207, Santa Monica, CA 90404-2756 | 2009-11-23 |
| 1346574969 | Sharon Lynn Teruya | Psychologist | 1448 15th St, Suite 203, Santa Monica, CA 90404-2756 | 2009-09-29 |
| 1194967323 | Lauren Martin Culp | Marriage & Family Therapist | 1448 15th St, Suite 107, Santa Monica, CA 90404-2756 | 2009-04-02 |
| 1588801930 | Lori Deutsch | Acupuncturist | 1448 15th St, Suite 105, Santa Monica, CA 90404-2756 | 2009-01-07 |
| 1952529208 | Gary K. Iwamoto | Chiropractor | 1448 15th St, Suite 201, Santa Monica, CA 90404-2756 | 2007-04-23 |
| 1427274869 | Amy Brooke Fee | Physical Therapist | 1448 15th St, Suite 101, Santa Monica, CA 90404-2756 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| 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 |
|---|---|---|---|---|
| 1033750468 | Erin Margolis | Psychologist | 1247 7th St Ste 200, Santa Monica, CA 90401-1660 | 2019-10-07 |
| 1063066132 | Lena Harris | Psychologist | 185 Pier Ave Ste 109, Santa Monica, CA 90405-5358 | 2019-07-27 |
| 1992364905 | Elisa Leal | Psychologist | 1831 Stanford St Ste 108, Santa Monica, CA 90404-4117 | 2019-06-12 |
| 1538628243 | Joanna M Ceppi | Psychologist | 2811 Wilshire Blvd Ste 660, Santa Monica, CA 90403-4823 | 2019-03-13 |
| 1013492388 | Gideon Psychology, PC | Psychologist | 1137 2nd St Ste 216, Santa Monica, CA 90403-5077 | 2018-10-02 |
| 1932615846 | Beth Levy | Psychologist | 3435 Ocean Park Blvd Ste 211, Santa Monica, CA 90405-3315 | 2017-12-15 |
| 1932633302 | Brenda Heidrich | Psychologist | 270 26th St Ste 202, Santa Monica, CA 90402-2543 | 2017-04-12 |
| 1972052694 | Lisa Burklund | Psychologist | 429 Santa Monica Blvd Ste 460, Santa Monica, CA 90401-3455 | 2016-09-22 |
| 1265987861 | Diana Devilliers | Psychologist | 138 Bicknell Ave, Santa Monica, CA 90405-2221 | 2016-08-24 |
| 1205212420 | Anna Selena Cho | Psychologist | 169 Pier Ave., Suite 5, Santa Monica, CA 90405-5311 | 2015-08-11 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
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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.