DR. PAUL MICHAEL WALLACE MD
NPI 1265991335
Psychiatry & Neurology - Psychiatry in Providence, RI

Q: What is Paul Wallace's NPI number?

The NPI number for Paul Wallace is 1265991335. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Q: What is Paul Wallace's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Paul Wallace was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 March 18, 2019PECOS EnrolledAccepts Medicare Assignment

528 N MAIN ST, PROVIDENCE, RI 02904(401) 528-0123(401) 528-0124 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 18, 2025, Oct 10, 2023, Aug 19, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Dr. Paul Michael Wallace Md NPPES

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

DR. PAUL MICHAEL WALLACE MD (NPI 1265991335) is an individual psychiatry provider in Providence, Rhode Island, licensed in Rhode Island (MD19363) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Women & Infants Hospital Of Rhode Island, and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1265991335

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. PAUL MICHAEL WALLACECredential: MD

Location Address528 N MAIN STProvidence, RI 02904

Mailing Address528 N Main St Unit 4Providence, RI 02904-5770 · (401) 528-0123 · Fax (401) 528-0124

Phone(401) 528-0123

Fax(401) 528-0124

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 18, 2019

Last NPPES UpdateDecember 18, 20254 updates tracked since enumeration

NPPES CertifiedDecember 18, 2025

✔ NPI 1265991335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in RI · MD19363

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

528 N MAIN ST, Providence, RI 02904

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Secondary Practice Location 1

Location 1530 N Main StProvidence, RI 02904-5762 · Phone (401) 274-2500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul Michael Wallace Md 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 ID8628489218

PECOS Enrollment IDI20231113000066

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.

Medicare Billing Reassignments

Medicare enrollment records show Paul Wallace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Providence Center Inc

Same address

Mental Health (Including Community Mental Health Center)

530 N MAIN ST
Providence, RI 02904

Reassigned Medicare billing, Rhode Island enrollment
76 clinicians in this Medicare group

NPI 1104847946 (401) 528-0110

The Rhode Island Public Health Foundation

1.6 mi

Clinic/Center

7 CENTRAL ST
Providence, RI 02907

Reassigned Medicare billing, Rhode Island enrollment
13 clinicians in this Medicare group

NPI 1669024329 (401) 648-4700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410010

Location101 Dudley StreetProvidence, RI 02905 · Providence County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02904 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

$177.03 typical visit price

range $58.57 – $177.03

Typical copayment $44.25 (range $14.64 – $44.25)

Most-billed visit code 99205

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

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.

JAMES RICHARDSON

Counselor

528 N MAIN ST
PROVIDENCE, RI 02904

Providence County (140) 528-0123

MS. SARAH ANN SATTERLEE APRN

Nurse Practitioner (Psychiatric/Mental Health)

528 N MAIN ST
PROVIDENCE, RI 02904

Providence County (401) 276-4020

SHANNON MARGARET MCKEON RN

Registered Nurse

528 N MAIN ST
PROVIDENCE, RI 02904

Providence County (401) 528-0193

CYNTHIA BARRY LCSW

Social Worker

528 N MAIN ST
PROVIDENCE, RI 02904

Providence County (401) 528-0123

KAYLA LUCIA

Counselor (Mental Health)

528 N MAIN ST
PROVIDENCE, RI 02904

Providence County (401) 528-0123

LUANNE P CALVO LCSW

Social Worker

528 N MAIN ST
PROVIDENCE, RI 02904

Providence County (401) 528-0193

DR. STEVEN IRA COHEN M.D.

Surgery

528 N MAIN ST, SUITE 3
PROVIDENCE, RI 02904

Providence County (401) 421-3306

VANESSA MADRID BSN RN

Registered Nurse

528 N MAIN ST
PROVIDENCE, RI 02904

Providence County (401) 528-0123

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 Paul Wallace's NPI number?

The NPI number for Paul Wallace is 1265991335. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Paul Wallace located?

Paul Wallace practices at 528 N Main St, Providence, RI 02904. The listed phone number is (401) 528-0123.

What is Paul Wallace's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Paul Wallace enrolled in Medicare?

Yes. Paul 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.

Which organizations bill Medicare for Paul Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Wallace reassigns Medicare benefits to 2 organizations: The Providence Center Inc (Providence, RI) and The Rhode Island Public Health Foundation (Providence, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Wallace accept?

Health plans from Harvard Pilgrim Health Care list Paul 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 Paul Wallace affiliated with any hospitals?

According to CMS data, Paul Wallace is affiliated with Women & Infants Hospital Of Rhode Island.

When was this NPI record last updated?

The NPPES record for Paul Wallace was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.