DR. IAN JOSEPH WALLACE PH.D.
NPI 1013143262
Psychologist in Vallejo, CA

Active since June 02, 2009
200 MARITIME ACADEMY DR, THE CALIFORNIA MARITIME ACADEMY, STUDENT HEALTH SERVICE, VALLEJO, CA 94590(707) 654-1170(707) 654-1171 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ian Joseph Wallace Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IAN JOSEPH WALLACE PH.D. (NPI 1013143262) is an individual psychologist in Vallejo, California, licensed in California (PSY# 23646) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1013143262
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. IAN JOSEPH WALLACECredential: PH.D.
Location Address200 MARITIME ACADEMY DR, THE CALIFORNIA MARITIME ACADEMY, STUDENT HEALTH SERVICEVallejo, CA 94590-8181
Mailing Address200 Maritime Academy Dr, The California Maritime Academy, Student Health ServiceVallejo, CA 94590-8181 · (707) 654-1170 · Fax (707) 654-1171
Fax(707) 654-1171
Sole ProprietorNo
Enumeration DateJune 2, 2009
Last NPPES UpdateJuly 23, 2013
NPI 1013143262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY# 23646
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
200 MARITIME ACADEMY DR, Vallejo, CA 94590

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Student Health)
200 MARITIME ACADEMY DR
VALLEJO, CA 94590
Internal Medicine
200 MARITIME ACADEMY DR
VALLEJO, CA 94590
Nurse Practitioner (Family)
200 MARITIME ACADEMY DR
VALLEJO, CA 94590

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ian Wallace's NPI number?

The NPI number for Ian Wallace is 1013143262. It was assigned to this individual provider in the NPPES registry on June 2, 2009.

Where is Ian Wallace located?

Ian Wallace practices at 200 Maritime Academy Dr The California Maritime Academy, Student Health Service, Vallejo, CA 94590. The listed phone number is (707) 654-1170.

What is Ian Wallace's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Ian Wallace was last updated on July 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.