ERIC WALLACE PHD
NPI 1912409160
Psychologist - Counseling in Shaker Heights, OH

Active since March 05, 2018PECOS EnrolledAccepts Medicare Assignment
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118(216) 320-8456 Get Directions Write a Review

NPPES record last updated: March 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2019, Mar 5, 2018 (2 updates tracked since 2018).

About Eric Wallace Phd NPPES

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

ERIC WALLACE PHD (NPI 1912409160) is an individual counseling provider in Shaker Heights, Ohio, licensed in Ohio (P.07864) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1912409160
Entity TypeIndividualMale
Primary Taxonomy103TC1900X
Provider Legal NameERIC WALLACECredential: PHD
Location Address22001 FAIRMOUNT BLVDShaker Heights, OH 44118-4819
Mailing Address22001 Fairmount BlvdShaker Heights, OH 44118-4819 · (216) 320-8456
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 5, 2018
Last NPPES UpdateMarch 20, 20192 updates tracked since enumeration
NPI 1912409160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in OH · P.07864
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
22001 FAIRMOUNT BLVD, Shaker Heights, OH 44118

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

Eric Wallace Phd 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 ID1052732260
PECOS Enrollment IDI20200526001569
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Group psychotherapy 90853
Group psychotherapy involves individuals discussing their issues in a group setting, led by a professional therapist. It provides a supportive environment where members can learn from each other's experiences, gain different perspectives, and develop new ways to handle challenges.
31 services13 patients

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.

Registered Nurse
22001 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH 44118
Counselor (Mental Health)
22001 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH 44118
Social Worker (Clinical)
22001 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH 44118
Social Worker
22001 FAIRMOUNT BLVD
CLEVELAND, OH 44118
Counselor
22001 FAIRMOUNT BLVD
CLEVELAND, OH 44118
Case Manager/Care Coordinator
22001 FAIRMOUNT BLVD
SHAKER HTS, OH 44118
Counselor (Professional)
22001 FAIRMOUNT BLVD
CLEVELAND, OH 44118
Case Manager/Care Coordinator
22001 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH 44118

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 Eric Wallace's NPI number?

The NPI number for Eric Wallace is 1912409160. It was assigned to this individual provider in the NPPES registry on March 5, 2018.

Where is Eric Wallace located?

Eric Wallace practices at 22001 Fairmount Blvd, Shaker Heights, OH 44118. The listed phone number is (216) 320-8456.

What is Eric Wallace's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Eric Wallace enrolled in Medicare?

Yes. Eric Wallace 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 Eric Wallace was last updated on March 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.