IndividualActive
Matthew Wallace
NPI 1639811136 · Psychologist · Folsom, CA
Matthew Wallace is a Psychologist provider in Folsom, CA (NPI 1639811136).
Provider details
- NPI number
- 1639811136
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 33214 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
525 Willard Dr Apt 1634
Folsom, CA 95630-4073
Phone: (818) 661-7882
Street-level locationGet directions
Mailing address
525 Willard Dr Apt 1634
Folsom, CA 95630-4073
Registry dates
- Enumerated
- 2022-04-13
- Last updated
- 2022-04-13
- Certified
- 2022-04-13
Frequently asked questions
- What is Matthew Wallace's NPI number?
- Matthew Wallace's National Provider Identifier (NPI) is 1639811136, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Wallace's specialty?
- Matthew Wallace is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Matthew Wallace located?
- Matthew Wallace's practice location on file with NPPES is 525 Willard Dr Apt 1634, Folsom, CA 95630-4073.
- What is Matthew Wallace's phone number?
- The practice phone number listed in the NPPES registry for Matthew Wallace is (818) 661-7882.
- Is Matthew Wallace's NPI active?
- Yes — Matthew Wallace's NPI (1639811136) is active in the NPPES registry as of the last update on 2022-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.