DR. MELISSA M. WALLACE PSY.D.
NPI 1235216482
Psychologist in Manchester, NH

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
250 COMMERCIAL STREET, SUITE 3004, MANCHESTER, NH 03101(603) 668-3050(603) 668-8666 Get Directions Write a Review

NPPES record last updated: August 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Melissa M. Wallace Psy.d. NPPES

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

DR. MELISSA M. WALLACE PSY.D. (NPI 1235216482) is an individual psychologist in Manchester, New Hampshire, licensed in New Hampshire (1165) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1235216482
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MELISSA M. WALLACECredential: PSY.D.
Location Address250 COMMERCIAL STREET, SUITE 3004Manchester, NH 03101-1118
Mailing Address250 Commercial Street, Suite 3004Manchester, NH 03101-1118 · (603) 668-3050 · Fax (603) 668-8666
Fax(603) 668-8666
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 1, 2006
Last NPPES UpdateAugust 13, 2014
NPI 1235216482 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 NH · 1165
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.
250 COMMERCIAL STREET, Manchester, NH 03101

Other Identifiers 1

Medicaid3080928NH

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. Melissa 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 ID4183993454
PECOS Enrollment IDI20210223003162
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.

Other Providers at the Same Location NPPES 7

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

Counselor (Mental Health)
250 COMMERCIAL STREET, SUITE 3004
MANCHESTER, NH 03101
Psychologist
250 COMMERCIAL STREET, SUITE 3004
MANCHESTER, NH 03101
Social Worker (Clinical)
250 COMMERCIAL STREET, SUITE 3004
MANCHESTER, NH 03101
Psychologist
250 COMMERCIAL STREET, SUITE 3004
MANCHESTER, NH 03101
Social Worker (Clinical)
250 COMMERCIAL STREET, SUITE 3004
MANCHESTER, NH 03101
Psychologist
250 COMMERCIAL STREET, SUITE 3004
MANCHESTER, NH 03101
Counselor (Mental Health)
250 COMMERCIAL STREET, SUITE 3004
MANCHESTER, NH 03101

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 Melissa Wallace's NPI number?

The NPI number for Melissa Wallace is 1235216482. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Melissa Wallace located?

Melissa Wallace practices at 250 Commercial Street Suite 3004, Manchester, NH 03101. The listed phone number is (603) 668-3050.

What is Melissa Wallace's specialty?

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

Is Melissa Wallace enrolled in Medicare?

Yes. Melissa 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 Melissa Wallace accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Melissa 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 Melissa Wallace was last updated on August 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.