DR. REBECCA M WALLACE PSY.D.
NPI 1114472735
Psychologist - Clinical in Oklahoma City, OK

Active since August 24, 2016PECOS EnrolledAccepts Medicare Assignment
1200 CHILDRENS AVE, STE 12400, OKLAHOMA CITY, OK 73104(405) 271-4407 Get Directions Write a Review

NPPES record last updated: April 28, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 28, 2017, Oct 27, 2016, Sep 26, 2016 and 1 more (4 updates tracked since 2016).

About Dr. Rebecca M Wallace Psy.d. NPPES

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

DR. REBECCA M WALLACE PSY.D. (NPI 1114472735) is an individual clinical provider in Oklahoma City, Oklahoma, licensed in Oklahoma (1272) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Childrens Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1114472735
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. REBECCA M WALLACECredential: PSY.D.
Location Address1200 CHILDRENS AVE, STE 12400Oklahoma City, OK 73104-4637
Mailing Address1200 Childrens Ave, Ste 12400Oklahoma City, OK 73104-4637 · (405) 271-4407
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 24, 2016
Last NPPES UpdateApril 28, 20174 updates tracked since enumeration
NPI 1114472735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in OK · 1272 Licensed in AR · 1508APPL
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.
1200 CHILDRENS AVE, Oklahoma City, OK 73104

Other Names 1

Other Name (5)Dr. Becca M Wallace Psy.d.

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Rebecca M Wallace Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092097915
PECOS Enrollment IDI20200327001263
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Childrens Hospital

Childrens · New Orleans, LA
OwnershipVoluntary non-profit - Private
CMS Certification Number193300
Location200 Henry Clay AveNew Orleans, LA 70118 · Orleans County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$162.61 typical visit price
range $53.00 – $162.61
Typical copayment $40.65 (range $13.25 – $40.65)
Most-billed visit code 99205
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Student in an Organized Health Care Education/Training Program
1200 CHILDRENS AVE, SUITE 4D
OKLAHOMA CITY, OK 73104
Nurse Practitioner (Pediatrics)
1200 CHILDRENS AVE, SUITE 10000
OKLAHOMA CITY, OK 73104
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Dietitian, Registered
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Pediatrics (Hospice and Palliative Medicine)
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104

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 Rebecca Wallace's NPI number?

The NPI number for Rebecca Wallace is 1114472735. It was assigned to this individual provider in the NPPES registry on August 24, 2016. The provider is also known as Dr. Becca M Wallace Psy.D..

Where is Rebecca Wallace located?

Rebecca Wallace practices at 1200 Childrens Ave Ste 12400, Oklahoma City, OK 73104. The listed phone number is (405) 271-4407.

What is Rebecca Wallace's specialty?

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

Is Rebecca Wallace enrolled in Medicare?

Yes. Rebecca Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rebecca Wallace accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Rebecca Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rebecca Wallace affiliated with any hospitals?

According to CMS data, Rebecca Wallace is affiliated with Childrens Hospital.

When was this NPI record last updated?

The NPPES record for Rebecca Wallace was last updated on April 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.