OrganizationActive
Wallace'S Place
NPI 1649441866 · Community/Behavioral Health Agency · Peoria, AZ
Wallace'S Place is a Community/Behavioral Health Agency organization in Peoria, AZ (NPI 1649441866).
Provider details
- NPI number
- 1649441866
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Cynthia Clark, Executive Director(623) 203-1148
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
9636 W Oberlin Way
Peoria, AZ 85383-8750
Phone: (623) 203-1148
Fax: (623) 825-4639
Street-level locationGet directions
Mailing address
9636 W Oberlin Way
Peoria, AZ 85383-8750
Registry dates
- Enumerated
- 2008-03-15
- Last updated
- 2008-03-15
Frequently asked questions
- What is Wallace'S Place's NPI number?
- Wallace'S Place's National Provider Identifier (NPI) is 1649441866, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wallace'S Place?
- Wallace'S Place is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Wallace'S Place located?
- Wallace'S Place's practice location on file with NPPES is 9636 W Oberlin Way, Peoria, AZ 85383-8750.
- What is Wallace'S Place's phone number?
- The practice phone number listed in the NPPES registry for Wallace'S Place is (623) 203-1148.
- Who is the authorized official for Wallace'S Place?
- The authorized official listed on Wallace'S Place's NPPES record is Cynthia Clark, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wallace'S Place's NPI active?
- Yes — Wallace'S Place's NPI (1649441866) is active in the NPPES registry as of the last update on 2008-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.