IndividualActive
John Wallace, PHD
NPI 1972585156 · Clinical Psychologist · Groton, CT
John Wallace, PHD is a Clinical Psychologist provider in Groton, CT (NPI 1972585156).
Provider details
- NPI number
- 1972585156
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- License
- 0810002367 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Naval Ambulatory Care Center
Route 12, Bldg 449, Attn: Professional Affairs
Groton, CT 06349-5600
Phone: (860) 694-2377
Fax: (860) 694-2590
Approximate (ZIP-level) locationGet directions
Mailing address
Naval Ambulatory Care Center
Groton, CT 06349-5600
Registry dates
- Enumerated
- 2005-11-15
- Last updated
- 2007-07-08
Frequently asked questions
- What is John Wallace's NPI number?
- John Wallace's National Provider Identifier (NPI) is 1972585156, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Wallace's specialty?
- John Wallace is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is John Wallace located?
- John Wallace's practice location on file with NPPES is Naval Ambulatory Care Center, Groton, CT 06349-5600.
- What is John Wallace's phone number?
- The practice phone number listed in the NPPES registry for John Wallace is (860) 694-2377.
- Is John Wallace's NPI active?
- Yes — John Wallace's NPI (1972585156) 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.