MS. ELIZABETH WALLACH MA
NPI 1750409041
Psychologist in Canonsburg, PA

Active since March 26, 2007Accepts Medicare Assignment
1061 WATERDAM PLAZA DR STE 208, CANONSBURG, PA 15317(724) 413-4991(724) 260-0221 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Elizabeth Wallach Ma NPPES

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

MS. ELIZABETH WALLACH MA (NPI 1750409041) is an individual psychologist in Canonsburg, Pennsylvania, licensed in Pennsylvania (PS6340L) and active in the NPI registry since March 2007. She is a graduate of Other (1985).

NPPES Registry Identity

NPI1750409041
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMS. ELIZABETH WALLACHCredential: MA
Location Address1061 WATERDAM PLAZA DR STE 208Canonsburg, PA 15317-5408
Mailing Address1061 Waterdam Plaza Dr Ste 208Canonsburg, PA 15317-5408 · (724) 413-4991 · Fax (724) 260-0221
Fax(724) 260-0221
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateMarch 26, 2007
Last NPPES UpdateFebruary 10, 2023
NPPES CertifiedFebruary 10, 2023
NPI 1750409041 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 PA · PS6340L
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.
1061 WATERDAM PLAZA DR STE 208, Canonsburg, PA 15317

Other Names 1

Former Name (1)Ms. Elizabeth Daily Wallach Ma

Other Identifiers 1

Medicaid001523992001PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Elizabeth Wallach Ma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284945049
PECOS Enrollment IDI20150619000981

Other Providers at the Same Location NPPES

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

Clinic/Center (Adult Mental Health)
1061 WATERDAM PLAZA DR STE 208
CANONSBURG, PA 15317

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 Elizabeth Wallach's NPI number?

The NPI number for Elizabeth Wallach is 1750409041. It was assigned to this individual provider in the NPPES registry on March 26, 2007. The provider is also known as Ms. Elizabeth Daily Wallach Ma.

Where is Elizabeth Wallach located?

Elizabeth Wallach practices at 1061 Waterdam Plaza Dr Ste 208, Canonsburg, PA 15317. The listed phone number is (724) 413-4991.

What is Elizabeth Wallach's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Elizabeth Wallach enrolled in Medicare?

Yes. Elizabeth Wallach is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Elizabeth Wallach was last updated on February 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.