IndividualActive
Randall Wallace, M.S.
NPI 1689768707 · Psychologist · Cambridge, MN
Randall Wallace, M.S. is a Psychologist provider in Cambridge, MN (NPI 1689768707).
Provider details
- NPI number
- 1689768707
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- M.S.
- Sex
- Male
- Sole proprietor
- No
- License
- LP0683 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
133 2nd Ave Sw
Cambridge, MN 55008-1552
Phone: (763) 689-9407
Fax: (763) 552-0164
Street-level locationGet directions
Mailing address
199 Coon Rapids Blvd Nw
Coon Rapids, MN 55433-5831
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2007-07-08
Frequently asked questions
- What is Randall Wallace's NPI number?
- Randall Wallace's National Provider Identifier (NPI) is 1689768707, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Randall Wallace's specialty?
- Randall Wallace is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Randall Wallace located?
- Randall Wallace's practice location on file with NPPES is 133 2nd Ave Sw, Cambridge, MN 55008-1552.
- What is Randall Wallace's phone number?
- The practice phone number listed in the NPPES registry for Randall Wallace is (763) 689-9407.
- Is Randall Wallace's NPI active?
- Yes — Randall Wallace's NPI (1689768707) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.