What is Randall Wallace's NPI number?

Randall Wallace's National Provider Identifier (NPI) is 1891049003, 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 Clinical Psychologist (Behavioral Health & Social Service Providers).

Where is Randall Wallace located?

Randall Wallace's practice location on file with NPPES is 36 Russ St, Hartford, CT 06106-1520.

What is Randall Wallace's phone number?

The practice phone number listed in the NPPES registry for Randall Wallace is (860) 466-9411.

Is Randall Wallace's NPI active?

Yes — Randall Wallace's NPI (1891049003) is active in the NPPES registry as of the last update on 2016-11-09.

IndividualActive

Randall Wallace, PSY.D.

NPI 1891049003 · Clinical Psychologist · Hartford, CT

Randall Wallace, PSY.D. is a Clinical Psychologist provider in Hartford, CT (NPI 1891049003).

Provider details

NPI number: 1891049003
Entity type: Individual
Primary specialty: Clinical PsychologistBehavioral Health & Social Service Providers
Credential: PSY.D.
Sex: Male
Sole proprietor: Yes
License: 2544 (CT)

Specialties & taxonomies

Clinical PsychologistPrimary103TC0700XLicense 2544 (CT)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(78/100 index)

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

Registry tenure38% of score
13 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

36 Russ St

Hartford, CT 06106-1520

Phone: (860) 466-9411

Street-level locationGet directions

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Mailing address