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DR. MATTHEW WALLACE PSY.D.
NPI 1427773670
Clinical Neuropsychologist in Winter Park, FL

Active since October 10, 2022
1573 W FAIRBANKS AVE STE 220, WINTER PARK, FL 32789(407) 303-7991 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2025, Oct 10, 2022 (2 updates tracked since 2022).

About Dr. Matthew Wallace Psy.d. NPPES

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

DR. MATTHEW WALLACE PSY.D. (NPI 1427773670) is an individual clinical neuropsychologist in Winter Park, Florida and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1427773670
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. MATTHEW WALLACECredential: PSY.D.
Location Address1573 W FAIRBANKS AVE STE 220Winter Park, FL 32789-4679
Mailing Address1573 W Fairbanks Ave Ste 220Winter Park, FL 32789-4679
Phone(407) 303-7991
Sole ProprietorNo
Enumeration DateOctober 10, 2022
Last NPPES UpdateSeptember 5, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1427773670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
1573 W FAIRBANKS AVE STE 220, Winter Park, FL 32789
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Other Providers at the Same Location NPPES 4

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

KACI WILSON PSYD
Clinical Neuropsychologist
1573 W FAIRBANKS AVE STE 220
WINTER PARK, FL 32789
Orange County (407) 303-7991
ANALISE C ROCCAFORTE PSYD
Clinical Neuropsychologist
1573 W FAIRBANKS AVE STE 220
WINTER PARK, FL 32789
Orange County (407) 303-7991
RAQUEL KIRMSE PSYD
Clinical Neuropsychologist
1573 W FAIRBANKS AVE STE 220
WINTER PARK, FL 32789
Orange County (407) 303-7991
TATIANA LUCES-RIVA PSY.D.
Clinical Neuropsychologist
1573 W FAIRBANKS AVE STE 220
WINTER PARK, FL 32789
Orange County (407) 303-7991

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 Matthew Wallace's NPI number?

The NPI number for Matthew Wallace is 1427773670. It was assigned to this individual provider in the NPPES registry on October 10, 2022.

Where is Matthew Wallace located?

Matthew Wallace practices at 1573 W Fairbanks Ave Ste 220, Winter Park, FL 32789. The listed phone number is (407) 303-7991.

What is Matthew Wallace's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Matthew Wallace was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.