DONALD M WALLACH MFT
NPI 1902844244
Marriage & Family Therapist in Petaluma, CA

Active since June 02, 2006Opted out of Medicare · through Dec 14, 2026
222 WELLER ST STE 205, PETALUMA, CA 94952(707) 583-2305 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Donald M Wallach Mft NPPES

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

DONALD M WALLACH MFT (NPI 1902844244) is an individual marriage & family therapist in Petaluma, California, licensed in California (34379) and active in the NPI registry since June 2006. He has opted out of Medicare through December 14, 2026.

NPPES Registry Identity

NPI1902844244
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameDONALD M WALLACHCredential: MFT
Location Address222 WELLER ST STE 205Petaluma, CA 94952-7107
Mailing Address222 Weller St Ste 205Petaluma, CA 94952-7107 · (707) 583-2305
Sole ProprietorYes
Enumeration DateJune 2, 2006
Last NPPES UpdateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
NPI 1902844244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 34379
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

222 WELLER ST STE 205, Petaluma, CA 94952

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Donald M Wallach Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 14, 2024 through December 14, 2026.

Opt-Out Effective DateDecember 14, 2024
Opt-Out In Effect ThroughDecember 14, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 (Mental Health (Including Community Mental Health Center))
222 WELLER ST STE 205
PETALUMA, CA 94952

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 Donald Wallach's NPI number?

The NPI number for Donald Wallach is 1902844244. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Donald Wallach located?

Donald Wallach practices at 222 Weller St Ste 205, Petaluma, CA 94952. The listed phone number is (707) 583-2305.

What is Donald Wallach's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Donald Wallach enrolled in Medicare?

No. Donald Wallach has opted out of Medicare through December 14, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Donald Wallach was last updated on January 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.