Dr. Timothy R Wallace is a Boston, Massachusetts based psychologist with 43 years of experience in General Psychology. He completed his graduation in 1981. He is also affiliated with hospitals like He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Timothy R Wallace is 4282 for General Psychology in Massachusetts. His current practice location is 125 Nashua Street, Spaulding Rehab Hospital, Boston. Patients can reach him at 617-573-2694 or can fax him at 217-573-2229. Dr. Timothy R Wallace is PHD in General Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1437149739. Dr. Timothy R Wallace is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, he performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. He can diagnose and treat 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 by psycheducational evaluation, therapy, remediation, and consultation.
Complete Profile:
Dr. Timothy R Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1951393248
Enrollment ID:
I20040330000472
NPI Number:
1437149739
NPI Enumeration Date:
27 Oct, 2005
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Timothy R Wallace are as mentioned below.
License Number
Specialization
State
Status
4282
General Psychology
Massachusetts
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(220071)
Boston, MA
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Timothy R Wallace is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
The General Hospital Corporation (6507803806)
981
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Timothy R Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
456014
Other
Massachusetts
TUFTS
W50958
Other
Massachusetts
BCBS MA
0395471
Medicaid
Massachusetts
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Timothy R Wallace Po Box 9142, Mass General Physician Organization Charlestown, Massachusetts
Zip:
02129-9142
Phone Number:
617-724-0287
Fax Number:
617-726-2894
Patients can reach Dr. Timothy R Wallace at 125 Nashua Street, Spaulding Rehab Hospital, Boston, Massachusetts or can call to book an appointment on 617-573-2694.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.