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

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: July 26, 2026.

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

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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 with the weekly NPPES data releases published by CMS.