IndividualActive
Jennifer Wallace
NPI 1295083897 · Psychologist · West Bloomfield, MI
Jennifer Wallace is a Psychologist provider in West Bloomfield, MI (NPI 1295083897).
Provider details
- NPI number
- 1295083897
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 6301014813 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
4226 Green Lake Rd
West Bloomfield, MI 48323-1139
Phone: (248) 404-5616
Street-level locationGet directions
Mailing address
4226 Green Lake Rd
West Bloomfield, MI 48323-1139
Registry dates
- Enumerated
- 2012-08-29
- Last updated
- 2012-08-29
Frequently asked questions
- What is Jennifer Wallace's NPI number?
- Jennifer Wallace's National Provider Identifier (NPI) is 1295083897, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Wallace's specialty?
- Jennifer Wallace is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Jennifer Wallace located?
- Jennifer Wallace's practice location on file with NPPES is 4226 Green Lake Rd, West Bloomfield, MI 48323-1139.
- What is Jennifer Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Wallace is (248) 404-5616.
- Is Jennifer Wallace's NPI active?
- Yes — Jennifer Wallace's NPI (1295083897) is active in the NPPES registry as of the last update on 2012-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.