IndividualActive
Roger Wallace, MA
NPI 1053501783 · Psychologist · Arden, NC
Roger Wallace, MA is a Psychologist provider in Arden, NC (NPI 1053501783).
Provider details
- NPI number
- 1053501783
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- MA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1179 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
410 Mills Gap Rd.
Arden, NC 28704
Phone: (828) 654-0111
Fax: (828) 654-0111
Street-level locationGet directions
Mailing address
Po Box 127
Arden, NC 28704-0127
Registry dates
- Enumerated
- 2007-07-30
- Last updated
- 2008-10-16
Frequently asked questions
- What is Roger Wallace's NPI number?
- Roger Wallace's National Provider Identifier (NPI) is 1053501783, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Roger Wallace's specialty?
- Roger Wallace is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Roger Wallace located?
- Roger Wallace's practice location on file with NPPES is 410 Mills Gap Rd., Arden, NC 28704.
- What is Roger Wallace's phone number?
- The practice phone number listed in the NPPES registry for Roger Wallace is (828) 654-0111.
- Is Roger Wallace's NPI active?
- Yes — Roger Wallace's NPI (1053501783) is active in the NPPES registry as of the last update on 2008-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.