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BETH WALLACH, MA, PSYCHOLOGIST, LLC
NPI 1285762336
Clinic/Center - Adult Mental Health in Canonsburg, PA

Active since March 01, 2007
1061 WATERDAM PLAZA DR STE 208, CANONSBURG, PA 15317(724) 413-4991(724) 260-0221 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 10, 2023, Aug 22, 2020 (2 updates tracked since 2020).

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

NPI1285762336
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameBETH WALLACH, MA, PSYCHOLOGIST, LLC
Location Address1061 WATERDAM PLAZA DR STE 208Canonsburg, PA 15317-5408
Mailing Address1061 Waterdam Plaza Dr Ste 208Canonsburg, PA 15317-5408 · (724) 413-4991 · Fax (724) 260-0221
Phone(724) 413-4991
Fax(724) 260-0221
Organization SubpartNo
Authorized OfficialElizabeth WallachPsychologist · (724) 413-4991
Enumeration DateMarch 1, 2007
Last NPPES UpdateFebruary 10, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2023
✔ NPI 1285762336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Also ListedPsychologistTaxonomy 103T00000X · License PS6340L (PA)
1061 WATERDAM PLAZA DR STE 208, Canonsburg, PA 15317
Open in Google Maps ↗

Other Names 2

Former Legal Business NameElizabeth Wallach, Ma, Psychologist
Former Legal Business NameBeth Or Elizabeth Daily Wallach Ma

Other Identifiers 1

Medicaid001523992001PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES

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

MS. ELIZABETH WALLACH MA
Psychologist
1061 WATERDAM PLAZA DR STE 208
CANONSBURG, PA 15317
Washington County (724) 413-4991

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.

What insurance does Beth Wallach, Ma, Psychologist, LLC accept?

Health plans from Providence Health Plan list Beth Wallach, Ma, Psychologist, LLC 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 Beth Wallach, Ma, Psychologist, LLC was last updated on February 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.