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

SYDNEY WALLACE
NPI 1639076458
Psychologist - School in Fairborn, OH

Active since October 23, 2026
63 W FUNDERBURG RD, FAIRBORN, OH 45324(937) 878-8668 Get Directions Write a Review

NPPES record added: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sydney Wallace NPPES

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

SYDNEY WALLACE (NPI 1639076458) is an individual school provider in Fairborn, Ohio, licensed in Ohio (LSP.03137) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1639076458
Entity TypeIndividual
Primary Taxonomy103TS0200X
Provider Legal NameSYDNEY WALLACE
Location Address63 W FUNDERBURG RDFairborn, OH 45324
Mailing Address2930 Royal Troon Way Apt DBeavercreek, OH 45324-7524
Sole ProprietorNo
Enumeration DateOctober 23, 2026
NPPES CertifiedOctober 22, 2026
✔ NPI 1639076458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
License✔ Licensed in OH · LSP.03137
Definition
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
63 W FUNDERBURG RD, Fairborn, OH 45324

Other Providers at the Same Location NPPES

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

Preventive Medicine (Public Health & General Preventive Medicine)
63 W FUNDERBURG RD
FAIRBORN, OH 45324

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 Sydney Wallace's NPI number?

The NPI number for Sydney Wallace is 1639076458. It was assigned to this individual provider in the NPPES registry on October 23, 2026.

Where is Sydney Wallace located?

Sydney Wallace practices at 63 W Funderburg Rd, Fairborn, OH 45324. The listed phone number is (937) 878-8668.

What is Sydney Wallace's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

When was this NPI record last updated?

The NPPES record for Sydney Wallace was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.