What is Nicolai Wallace's NPI number?

Nicolai Wallace's National Provider Identifier (NPI) is 1750736641, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Nicolai Wallace's specialty?

Nicolai Wallace is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist (Behavioral Health & Social Service Providers).

Where is Nicolai Wallace located?

Nicolai Wallace's practice location on file with NPPES is 5407 Excelsior Blvd, St Louis Park, MN 55416-2929.

What is Nicolai Wallace's phone number?

The practice phone number listed in the NPPES registry for Nicolai Wallace is (612) 710-8910.

Is Nicolai Wallace's NPI active?

Yes — Nicolai Wallace's NPI (1750736641) is active in the NPPES registry as of the last update on 2016-04-27.

IndividualActive

Nicolai Wallace

NPI 1750736641 · Marriage & Family Therapist · St Louis Park, MN

Nicolai Wallace is a Marriage & Family Therapist provider in St Louis Park, MN (NPI 1750736641).

Provider details

NPI number: 1750736641
Entity type: Individual
Primary specialty: Marriage & Family TherapistBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Marriage & Family TherapistPrimary106H00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(65/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
10 yrs in NPPES registry
Profile completeness38% of score
83% 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

5407 Excelsior Blvd

St Louis Park, MN 55416-2929

Phone: (612) 710-8910

Street-level locationGet directions

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Mailing address