IndividualActive
Gemma Wallace, PHD
NPI 1093257123 · Psychologist · Providence, RI
Provider details
- NPI number
- 1093257123
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- PS02336 (RI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Community Health Worker172V00000X
Other Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
345 Blackstone Blvd Ste 2
Providence, RI 02906-4829
Phone: (401) 455-6200
Street-level locationGet directions
Mailing address
414 E Van Ness Pl
Salt Lake City, UT 84111-4312
Registry dates
- Enumerated
- 2016-11-07
- Last updated
- 2025-05-30
- Certified
- 2025-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.