JOHN F WALLACE PH.D.
NPI 1063523488
Psychologist - Clinical in Des Moines, IA

Q: What is John Wallace's NPI number?

The NPI number for John Wallace is 1063523488. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is John Wallace's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for John Wallace was last updated on April 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since August 31, 2006

3600 30TH ST, DES MOINES, IA 50310(515) 699-5999 Get Directions Write a Review

NPPES record last updated: April 9, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About John F Wallace Ph.d. NPPES

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

JOHN F WALLACE PH.D. (NPI 1063523488) is an individual clinical provider in Des Moines, Iowa, licensed in Iowa (775) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1063523488

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameJOHN F WALLACECredential: PH.D.

Location Address3600 30TH STDes Moines, IA 50310-5753

Mailing Address3600 30th StDes Moines, IA 50310-5753 · (515) 699-5999

Phone(515) 699-5999

Sole ProprietorNo

Enumeration DateAugust 31, 2006

Last NPPES UpdateApril 9, 2009

✔ NPI 1063523488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IA · 775

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3600 30TH ST, Des Moines, IA 50310

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Other Identifiers 2

Medicare ID-Type UnspecifiedI11961IA

Medicare UPINS11175IA

Other Providers at the Same Location NPPES 20

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

JESS THOMPSON PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

3600 30TH ST
DES MOINES, IA 50310

Polk County (515) 699-5999

MRS. QUINTA AWAH-NDANG MBONGHO

Licensed Practical Nurse

3600 30TH ST
DES MOINES, IA 50310

Polk County (515) 699-5999

WENDY FREESMEIER RN

Registered Nurse (Case Management)

3600 30TH ST
DES MOINES, IA 50310

Polk County (515) 699-5999

TABETHA TARA SCHRODER NP-C

Nurse Practitioner (Family)

3600 30TH ST
DES MOINES, IA 50310

Polk County (515) 669-7108

DR. NATALIE S GULBRANSON PHARMD

Pharmacist (Ambulatory Care)

3600 30TH ST, VACIHCS PHARMACY 119
DES MOINES, IA 50310

Polk County (515) 699-5999

KIMBERLY REDEKER PHARMD

Pharmacist

3600 30TH ST
DES MOINES, IA 50310

Polk County (515) 699-5999

MRS. MARY STEIM

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

3600 30TH ST
DES MOINES, IA 50310

Polk County (515) 699-5999

DR. JENNIFER DAHMS DPT

Military Health Care Provider

3600 30TH ST
DES MOINES, IA 50310

Polk County (515) 306-8315

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 John Wallace's NPI number?

The NPI number for John Wallace is 1063523488. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is John Wallace located?

John Wallace practices at 3600 30th St, Des Moines, IA 50310. The listed phone number is (515) 699-5999.

What is John Wallace's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for John Wallace was last updated on April 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.