DR. WILLIAM L WALLACE PHD
NPI 1366597635
Psychologist in Santa Monica, CA

Active since January 24, 2007
1448 15TH ST, SUITE 203, SANTA MONICA, CA 90404(310) 451-2107(310) 451-9665 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. William L Wallace Phd NPPES

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

DR. WILLIAM L WALLACE PHD (NPI 1366597635) is an individual psychologist in Santa Monica, California, licensed in California (PSY6312) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1366597635
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. WILLIAM L WALLACECredential: PHD
Location Address1448 15TH ST, SUITE 203Santa Monica, CA 90404-2756
Mailing Address1448 15th St, Suite 203Santa Monica, CA 90404-2756 · (310) 451-2107 · Fax (310) 451-9665
Fax(310) 451-9665
Sole ProprietorYes
Enumeration DateJanuary 24, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1366597635 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 CA · PSY6312
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.
1448 15TH ST, Santa Monica, CA 90404

Other Identifiers 1

Medicare ID-Type UnspecifiedCP6312CA · Psychologist

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.

Family Medicine
1448 15TH ST, SUITE 207
SANTA MONICA, CA 90404
Marriage & Family Therapist
1448 15TH ST, SUITE 107
SANTA MONICA, CA 90404
Physical Therapist (Orthopedic)
1448 15TH ST, SUITE 101
SANTA MONICA, CA 90404
Chiropractor (Nutrition)
1448 15TH ST, STE. #201
SANTA MONICA, CA 90404
Chiropractor
1448 15TH ST, SUITE 201
SANTA MONICA, CA 90404

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 William Wallace's NPI number?

The NPI number for William Wallace is 1366597635. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is William Wallace located?

William Wallace practices at 1448 15th St Suite 203, Santa Monica, CA 90404. The listed phone number is (310) 451-2107.

What is William 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 William Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.