DR. SUSAN 'SUZI' WALLACE PSYCHOLOGIST
NPI 1124215256
Psychologist - Clinical in Anchorage, AK

Active since October 03, 2007PECOS Enrolled
4341 TUDOR CENTRE DR STE 300, ANCHORAGE, AK 99508(907) 729-2500 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 30, 2018, Mar 17, 2018, Feb 12, 2018 (3 updates tracked since 2018).

About Dr. Susan 'suzi' Wallace Psychologist NPPES

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

DR. SUSAN 'SUZI' WALLACE PSYCHOLOGIST (NPI 1124215256) is an individual clinical provider in Anchorage, Alaska, licensed in Alaska (242882) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1124215256
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SUSAN 'SUZI' WALLACECredential: PSYCHOLOGIST
Location Address4341 TUDOR CENTRE DR STE 300Anchorage, AK 99508-5904
Mailing Address7033 E Tudor RdAnchorage, AK 99507-1262 · (907) 729-6801 · Fax (907) 729-5180
Sole ProprietorYes
Enumeration DateOctober 3, 2007
Last NPPES UpdateJune 9, 20263 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
NPI 1124215256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in AK · 242882 Licensed in AR · 18-08P
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.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License A0510074 (AR)
Also ListedPhysical TherapistTaxonomy 225100000X · License 1724 (AR)
4341 TUDOR CENTRE DR STE 300, Anchorage, AK 99508

Secondary Practice Locations 3

Location 15111 Rogers Avenue, Suite 533, Central Mall Plaza Suites #533Fort Smith, AR 72903 · Phone (479) 651-7413
Location 24711 Oak Hollow LaneFort Smith, AR 72903 · Phone (479) 651-7413
Location 33111 S 70th StFort Smith, AR 72903-5017 · Phone (479) 452-6650 · Fax (479) 785-9495

Accepted Insurance

Medicare Participation & PECOS Enrollment Status

Susan 'suzi' Wallace is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 99508 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $222.64
  • Minimum New Patient Price $71.33
  • Maximum New Patient Price $222.64
  • Average New Patient Copayment $55.66
  • Minimum New Patient Copayment $17.83
  • Maximum New Patient Copayment $55.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $128.73
  • Minimum Established Patient Price $21.84
  • Maximum Established Patient Price $181.48
  • Average Established Patient Copayment $32.18
  • Minimum Established Patient Copayment $5.46
  • Maximum Established Patient Copayment $45.37

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Community/Behavioral Health
4341 TUDOR CENTRE DR STE 300
ANCHORAGE, AK 99508
Case Manager/Care Coordinator
4341 TUDOR CENTRE DR STE 300
ANCHORAGE, AK 99508
Case Manager/Care Coordinator
4341 TUDOR CENTRE DR STE 300
ANCHORAGE, AK 99508
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4341 TUDOR CENTRE DR STE 300
ANCHORAGE, AK 99508
Case Manager/Care Coordinator
4341 TUDOR CENTRE DR STE 300
ANCHORAGE, AK 99508
Counselor
4341 TUDOR CENTRE DR STE 300
ANCHORAGE, AK 99508
Nurse Practitioner (Psychiatric/Mental Health)
4341 TUDOR CENTRE DR STE 300
ANCHORAGE, AK 99508
Nurse Practitioner (Psychiatric/Mental Health)
4341 TUDOR CENTRE DR STE 300
ANCHORAGE, AK 99508
Clinic/Center (Mental Health (Including Community Mental Health Center))
4341 TUDOR CENTRE DR STE 300
ANCHORAGE, AK 99508
Clinic/Center (Multi-Specialty)
4341 TUDOR CENTRE DR STE 300
ANCHORAGE, AK 99508
Community Health Worker
4341 TUDOR CENTRE DR STE 300
ANCHORAGE, AK 99508
Community Health Worker
4341 TUDOR CENTRE DR STE 300
ANCHORAGE, AK 99508
Psychiatry & Neurology (Psychiatry)
4341 TUDOR CENTRE DR STE 300
ANCHORAGE, AK 99508

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124215256, enumerated as an "individual" on October 03, 2007.

The provider is located at 4341 TUDOR CENTRE DR STE 300 ANCHORAGE, AK 99508 and the phone number is (907) 729-2500.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.