IndividualActive
Yelda Wallace
NPI 1629651203 · Clinical Neuropsychologist · Tampa, FL
Provider details
- NPI number
- 1629651203
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PY11975 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(67/100 index)
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
2 documented practice locations
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
3825 Henderson Blvd Ste 406
Tampa, FL 33629-5022
Phone: (813) 291-7150
Fax: (855) 318-5403
Street-level locationGet directions
Mailing address
1734 Nevada Ave Ne
Saint Petersburg, FL 33703-3344
Additional practice locations (1)
- 2919 W Swann Ave Ste 201Tampa, FL 33609-4050Phone: (813) 381-5200Fax: (813) 381-5200
Registry dates
- Enumerated
- 2021-05-03
- Last updated
- 2026-03-16
- Certified
- 2026-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.