Jaime Wallace, PH.D.
NPI 1366783557 · Clinical Psychologist · Garden City, NY
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jaime Wallace, PH.D. is a Clinical Psychologist provider in Garden City, NY (NPI 1366783557).
Provider details
- NPI number
- 1366783557
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8017984 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2013-03-13
- Last updated
- 2013-03-13
Frequently asked questions
- What is Jaime Wallace's NPI number?
- Jaime Wallace's National Provider Identifier (NPI) is 1366783557, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaime Wallace's specialty?
- Jaime Wallace is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jaime Wallace located?
- Jaime Wallace's practice location on file with NPPES is 198 Fernwood Ter, Garden City, NY 11530-5010.
- What is Jaime Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jaime Wallace is (516) 457-4992.
- Does Jaime Wallace accept Medicare?
- Jaime Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jaime Wallace's NPI active?
- Yes — Jaime Wallace's NPI (1366783557) is active in the NPPES registry as of the last update on 2013-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.