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DR. JAMES IRWIN WALLACE PH.D.
NPI 1215051917
Psychologist - Clinical in Hamilton, NY

Active since March 19, 2007PECOS EnrolledAccepts Medicare Assignment
40 MILFORD ST, HAMILTON, NY 13346(315) 750-6497 Get Directions Write a Review

NPPES record last updated: December 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James Irwin Wallace Ph.d. NPPES

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

DR. JAMES IRWIN WALLACE PH.D. (NPI 1215051917) is an individual clinical provider in Hamilton, New York, licensed in New York (009265) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1984).

NPPES Registry Identity

NPI1215051917
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JAMES IRWIN WALLACECredential: PH.D.
Location Address40 MILFORD STHamilton, NY 13346-1009
Mailing Address7295 Butternut LnHamilton, NY 13346-2124 · (315) 824-5809
Phone(315) 750-6497
Sole ProprietorYes
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1984
Enumeration DateMarch 19, 2007
Last NPPES UpdateDecember 5, 2011
✔ NPI 1215051917 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 NY · 009265
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.
40 MILFORD ST, Hamilton, NY 13346
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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. James Irwin Wallace Ph.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 ID7719144427
PECOS Enrollment IDI20120208000704
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13346 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 2

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

DR. NIKI LYNN KEATING PH.D.
Psychologist
40 MILFORD ST
HAMILTON, NY 13346
Madison County (315) 559-1426
DR. LEIGH TAYLOR HOPE PSYD
Psychologist (Clinical)
40 MILFORD ST
HAMILTON, NY 13346
Madison County (315) 825-5279

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 James Wallace's NPI number?

The NPI number for James Wallace is 1215051917. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is James Wallace located?

James Wallace practices at 40 Milford St, Hamilton, NY 13346. The listed phone number is (315) 750-6497.

What is James Wallace's specialty?

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

Is James Wallace enrolled in Medicare?

Yes. James 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 James Wallace accept?

Health plans from Providence Health Plan list James 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.

When was this NPI record last updated?

The NPPES record for James Wallace was last updated on December 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.