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DR. JENNIFER WALLACH PHD
NPI 1316462930
Psychologist - Clinical in New York, NY

Active since August 04, 2017
594 BROADWAY RM 907, NEW YORK, NY 10012(617) 571-6811 Get Directions Write a Review

NPPES record last updated: August 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jennifer Wallach Phd NPPES

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

DR. JENNIFER WALLACH PHD (NPI 1316462930) is an individual clinical provider in New York, New York, licensed in New York (022264) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1316462930
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JENNIFER WALLACHCredential: PHD
Location Address594 BROADWAY RM 907New York, NY 10012-3289
Mailing Address594 BroadwayNew York, NY 10012-3233 · (617) 571-6811
Phone(617) 571-6811
Sole ProprietorYes
Enumeration DateAugust 4, 2017
✔ NPI 1316462930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 022264
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
594 BROADWAY RM 907, New York, NY 10012
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Other Providers at the Same Location NPPES 5

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

MOLLY BATES LCSW PLLC
Social Worker (Clinical)
594 BROADWAY RM 907
NEW YORK, NY 10012
New York County (917) 905-9801
MISS MOLLY TETTEH LCSW
Social Worker (Clinical)
594 BROADWAY RM 907
NEW YORK, NY 10012
New York County (917) 905-9801
HEATHER LORTIE LCSW PLLC
Social Worker (Clinical)
594 BROADWAY RM 907
NEW YORK, NY 10012
New York County (917) 748-5340
JOSEPHINE BIANCA MANSERGH JOHNSON
Counselor (Mental Health)
594 BROADWAY RM 907
NEW YORK, NY 10012
New York County (646) 526-4779
RIA SARKAR
Social Worker (Clinical)
594 BROADWAY RM 907
NEW YORK, NY 10012
New York County (917) 905-9801

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 Jennifer Wallach's NPI number?

The NPI number for Jennifer Wallach is 1316462930. It was assigned to this individual provider in the NPPES registry on August 4, 2017.

Where is Jennifer Wallach located?

Jennifer Wallach practices at 594 Broadway Rm 907, New York, NY 10012. The listed phone number is (617) 571-6811.

What is Jennifer Wallach's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jennifer Wallach was last updated on August 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.