DR. DUSTIN P WALLACE PHD
NPI 1710143250
Psychologist - Clinical Child & Adolescent in Kansas City, MO

Q: What is Dustin Wallace's NPI number?

The NPI number for Dustin Wallace is 1710143250. It was assigned to this individual provider in the NPPES registry on August 4, 2008.

Q: What is Dustin Wallace's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Dustin Wallace was last updated on February 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 04, 2008

2401 GILLHAM RD, KANSAS CITY, MO 64108(816) 234-3000 Get Directions Write a Review

NPPES record last updated: February 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Dustin P Wallace Phd NPPES

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

DR. DUSTIN P WALLACE PHD (NPI 1710143250) is an individual clinical child & adolescent provider in Kansas City, Missouri, licensed in Missouri (2010009609) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1710143250

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameDR. DUSTIN P WALLACECredential: PHD

Location Address2401 GILLHAM RDKansas City, MO 64108-4619

Mailing Address2401 Gillham RdKansas City, MO 64108-4619 · (816) 234-3000

Phone(816) 234-3000

Sole ProprietorNo

Enumeration DateAugust 4, 2008

Last NPPES UpdateFebruary 3, 2015

✔ NPI 1710143250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in MO · 2010009609

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

2401 GILLHAM RD, Kansas City, MO 64108

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

RYAN A ROMANS MD

Pediatrics (Pediatric Cardiology)

2401 GILLHAM RD
KANSAS CITY, MO 64108

Jackson County (816) 234-3000

JENNIFER BITNER MSN, APRN, FNP-C

Nurse Practitioner (Family)

2401 GILLHAM RD
KANSAS CITY, MO 64108

Jackson County (913) 234-3000

SAMIRA NAIME M.D.

Pediatrics (Sleep Medicine)

2401 GILLHAM RD
KANSAS CITY, MO 64108

Jackson County (816) 234-3000

MICHELLE RENEE MIDDLETON AU.D.

Audiologist

2401 GILLHAM RD, HEARING AND SPEECH CLINIC
KANSAS CITY, MO 64108

Jackson County (816) 960-4009

MADALYN NICOLE SINGLETON DO

Student in an Organized Health Care Education/Training Program

2401 GILLHAM RD
KANSAS CITY, MO 64108

Jackson County (816) 234-3000

EMMA LYNNE WORLEY CAA

Anesthesiologist Assistant

2401 GILLHAM RD
KANSAS CITY, MO 64108

Jackson County (816) 234-3000

DR. FAYTH WALBRIDGE PHD

Psychologist (Clinical)

2401 GILLHAM RD
KANSAS CITY, MO 64108

Jackson County (308) 655-0842

JAMES W. LOWE DDS

Dentist (Pediatric Dentistry)

2401 GILLHAM RD
KANSAS CITY, MO 64108

Jackson County (816) 234-3000

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 Dustin Wallace's NPI number?

The NPI number for Dustin Wallace is 1710143250. It was assigned to this individual provider in the NPPES registry on August 4, 2008.

Where is Dustin Wallace located?

Dustin Wallace practices at 2401 Gillham Rd, Kansas City, MO 64108. The listed phone number is (816) 234-3000.

What is Dustin Wallace's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

What insurance does Dustin Wallace accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and Medica list Dustin Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dustin Wallace was last updated on February 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.