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Michael Wallace, MA
NPI 1003116658 · Clinical Psychologist · Ann Arbor, MI
Michael Wallace, MA is a Clinical Psychologist provider in Ann Arbor, MI (NPI 1003116658).
Provider details
- NPI number
- 1003116658
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- MA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6301008847 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
201 E Liberty St
Suite 2
Ann Arbor, MI 48104-2118
Phone: (734) 330-3580
Street-level locationGet directions
Mailing address
201 E. Liberty St.
Ann Arbor, MI 48104
Registry dates
- Enumerated
- 2010-10-29
- Last updated
- 2010-10-29
Frequently asked questions
- What is Michael Wallace's NPI number?
- Michael Wallace's National Provider Identifier (NPI) is 1003116658, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Wallace's specialty?
- Michael Wallace is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Michael Wallace located?
- Michael Wallace's practice location on file with NPPES is 201 E Liberty St, Ann Arbor, MI 48104-2118.
- What is Michael Wallace's phone number?
- The practice phone number listed in the NPPES registry for Michael Wallace is (734) 330-3580.
- Is Michael Wallace's NPI active?
- Yes — Michael Wallace's NPI (1003116658) is active in the NPPES registry as of the last update on 2010-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.