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CASEY WALLACE
NPI 1619541877
Psychologist - Clinical in Commerce Township, MI

Active since May 13, 2021
2045 E WEST MAPLE RD STE D405, COMMERCE TOWNSHIP, MI 48390(248) 669-9500 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 4, 2024, May 13, 2021 (2 updates tracked since 2021).

About Casey Wallace NPPES

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

CASEY WALLACE (NPI 1619541877) is an individual clinical provider in Commerce Township, Michigan, licensed in Michigan (6362009880) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1619541877
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameCASEY WALLACE
Location Address2045 E WEST MAPLE RD STE D405Commerce Township, MI 48390-3801
Mailing Address201 W New York AvePontiac, MI 48340-1154 · (810) 893-4363
Phone(248) 669-9500
Sole ProprietorNo
Enumeration DateMay 13, 2021
Last NPPES UpdateJanuary 4, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
✔ NPI 1619541877 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 MI · 6362009880
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.
2045 E WEST MAPLE RD STE D405, Commerce Township, MI 48390
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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.

WHITNEY RUDIS
Social Worker
2045 E WEST MAPLE RD STE D405
COMMERCE TOWNSHIP, MI 48390
Oakland County (248) 669-9500
ERIC S. SAMSON
Psychologist
2045 E WEST MAPLE RD STE D405
COMMERCE TOWNSHIP, MI 48390
Oakland County (248) 669-9500
DR. ALEGRA SYLVIA CHRISTINE WESTPHALEN LP
Psychologist
2045 E WEST MAPLE RD STE D405
COMMERCE TOWNSHIP, MI 48390
Oakland County (248) 669-9500
KRISTEN ABBO LMSW
Social Worker (Clinical)
2045 E WEST MAPLE RD STE D405
COMMERCE TWP, MI 48390
Oakland County (248) 669-9500
MS. EMILY CHRISTINE CLARK MA, LLC
Counselor (Mental Health)
2045 E WEST MAPLE RD STE D405
COMMERCE TOWNSHIP, MI 48390
Oakland County (248) 669-9500

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 Casey Wallace's NPI number?

The NPI number for Casey Wallace is 1619541877. It was assigned to this individual provider in the NPPES registry on May 13, 2021.

Where is Casey Wallace located?

Casey Wallace practices at 2045 E West Maple Rd Ste D405, Commerce Township, MI 48390. The listed phone number is (248) 669-9500.

What is Casey Wallace'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 Casey Wallace was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.