BETH WALLACH, MA, PSYCHOLOGIST, LLC
NPI 1285762336
Clinic/Center - Adult Mental Health in Canonsburg, PA
About Beth Wallach, Ma, Psychologist, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETH WALLACH, MA, PSYCHOLOGIST, LLC (NPI 1285762336), doing business as Elizabeth Wallach, Ma, Psychologist, is a healthcare organization registered as an adult mental health in Canonsburg, Pennsylvania and active in the NPI registry since March 2007. The organization lists Elizabeth Wallach, Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 2
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Beth Wallach, Ma, Psychologist, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Beth Wallach, Ma, Psychologist, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Beth Wallach, Ma, Psychologist, LLC's NPI number?
The NPI number for Beth Wallach, Ma, Psychologist, LLC is 1285762336. It was assigned to this organization in the NPPES registry on March 1, 2007. The provider was formerly known as Elizabeth Wallach, Ma, Psychologist and Beth or Elizabeth Daily Wallach MA.
Where is Beth Wallach, Ma, Psychologist, LLC located?
Beth Wallach, Ma, Psychologist, LLC is located at 1061 Waterdam Plaza Dr Ste 208, Canonsburg, PA 15317. The listed phone number is (724) 413-4991.
What is Beth Wallach, Ma, Psychologist, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Beth Wallach, Ma, Psychologist, LLC enrolled in Medicare?
Yes. Beth Wallach, Ma, Psychologist, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Beth Wallach, Ma, Psychologist, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychologist Billing Independently) reassigns their Medicare billing to Beth Wallach, Ma, Psychologist, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Beth Wallach, Ma, Psychologist, LLC was last updated on February 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Beth Wallach, Ma, Psychologist, Llc · NPI 1285762336
Adult Mental Health organization in Canonsburg, Pennsylvania. Organization record, active in the CMS NPPES registry since March 1, 2007.
## Identity
- **NPI:** 1285762336 (Entity type: Organization)
- **Enumerated:** March 1, 2007
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Also known as:** Beth or Elizabeth Daily Wallach MA (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Elizabeth Wallach, PSYCHOLOGIST
## Practice location
- **Address:** 1061 WATERDAM PLAZA DR STE 208, Canonsburg, PA 15317-5408
- **Phone:** (724) 413-4991 · **Fax:** (724) 260-0221
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Psychologist Billing Independently) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 10, 2023
- **Other identifiers:** Medicaid 001523992001 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1285762336) · Data from the CMS NPPES public registry.