Casey Wallace
NPI 1619541877 · Clinical Psychologist · Commerce Township, MI
Casey Wallace is a Clinical Psychologist provider in Commerce Township, MI (NPI 1619541877).
Provider details
- NPI number
- 1619541877
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 6362009880 (MI)
Specialties & taxonomies
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
5 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
- 2021-05-13
- Last updated
- 2024-01-04
- Certified
- 2024-01-04
Frequently asked questions
- What is Casey Wallace's NPI number?
- Casey Wallace's National Provider Identifier (NPI) is 1619541877, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Casey Wallace's specialty?
- Casey Wallace is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Casey Wallace located?
- Casey Wallace's practice location on file with NPPES is 2045 E West Maple Rd Ste D405, Commerce Township, MI 48390-3801.
- What is Casey Wallace's phone number?
- The practice phone number listed in the NPPES registry for Casey Wallace is (248) 669-9500.
- Is Casey Wallace's NPI active?
- Yes — Casey Wallace's NPI (1619541877) is active in the NPPES registry as of the last update on 2024-01-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.