Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. SAMUEL WOLF SIEGEL-WALLACE
NPI 1306740469
Psychologist in Philadelphia, PA

Active since October 05, 2026
123 S BROAD ST STE 2240, PHILADELPHIA, PA 19109(267) 209-0140 Get Directions Write a Review

NPPES record added: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Samuel Wolf Siegel-wallace NPPES

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

DR. SAMUEL WOLF SIEGEL-WALLACE (NPI 1306740469) is an individual psychologist in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS020872) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1306740469
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. SAMUEL WOLF SIEGEL-WALLACE
Location Address123 S BROAD ST STE 2240Philadelphia, PA 19109-1029
Mailing Address123 S Broad St Ste 2240Philadelphia, PA 19109-1029 · (267) 209-0140
Sole ProprietorNo
Enumeration DateOctober 5, 2026
NPPES CertifiedOctober 4, 2026
✔ NPI 1306740469 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 PA · PS020872
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.
123 S BROAD ST STE 2240, Philadelphia, PA 19109

Other Providers at the Same Location NPPES 10

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

Psychologist (Clinical)
123 S BROAD ST STE 2240
PHILADELPHIA, PA 19109
Psychologist (Counseling)
123 S BROAD ST STE 2240
PHILADELPHIA, PA 19109
Psychologist (Clinical)
123 S BROAD ST STE 2240
PHILADELPHIA, PA 19109
Psychologist
123 S BROAD ST STE 2240
PHILADELPHIA, PA 19109
Psychologist (Clinical)
123 S BROAD ST STE 2240
PHILADELPHIA, PA 19109
Psychologist
123 S BROAD ST STE 2240
PHILADELPHIA, PA 19109
Psychologist
123 S BROAD ST STE 2240
PHILADELPHIA, PA 19109
Psychologist (Clinical)
123 S BROAD ST STE 2240
PHILADELPHIA, PA 19109

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 Samuel Siegel-wallace's NPI number?

The NPI number for Samuel Siegel-wallace is 1306740469. It was assigned to this individual provider in the NPPES registry on October 5, 2026.

Where is Samuel Siegel-wallace located?

Samuel Siegel-wallace practices at 123 S Broad St Ste 2240, Philadelphia, PA 19109. The listed phone number is (267) 209-0140.

What is Samuel Siegel-wallace's specialty?

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

When was this NPI record last updated?

The NPPES record for Samuel Siegel-wallace was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.