Dustin Wallace, PHD
NPI 1710143250 · Clinical Child & Adolescent Psychologist · Kansas City, MO
Dustin Wallace, PHD is a Clinical Child & Adolescent Psychologist provider in Kansas City, MO (NPI 1710143250).
Provider details
- NPI number
- 1710143250
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 2010009609 (MO)
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
17 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
- 2008-08-04
- Last updated
- 2015-02-03
Frequently asked questions
- What is Dustin Wallace's NPI number?
- Dustin Wallace's National Provider Identifier (NPI) is 1710143250, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dustin Wallace's specialty?
- Dustin Wallace is listed in the NPPES registry with a primary specialty of Clinical Child & Adolescent Psychologist (Behavioral Health & Social Service Providers).
- Where is Dustin Wallace located?
- Dustin Wallace's practice location on file with NPPES is 2401 Gillham Rd, Kansas City, MO 64108-4619.
- What is Dustin Wallace's phone number?
- The practice phone number listed in the NPPES registry for Dustin Wallace is (816) 234-3000.
- Is Dustin Wallace's NPI active?
- Yes — Dustin Wallace's NPI (1710143250) is active in the NPPES registry as of the last update on 2015-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.