IndividualActive
John Wallace, M.D.
NPI 1346379161 · Psychiatry Physician · Shoreline, WA
Provider details
- NPI number
- 1346379161
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 00008964 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
19 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
17515 N Park Pl N
Shoreline, WA 98133-4803
Phone: (206) 533-2158
Fax: (206) 533-2158
Street-level locationGet directions
Mailing address
17515 N Park Pl N
Shoreline, WA 98133-4803
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.