National Provider Identifier
James M Wallace, MD
James M Wallace, MD is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Pittsford, NY and a listed phone number of (505) 249-6220.
Profile Overview
- NPI
- 1649369976
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- October 12, 2006
- Last Updated
- July 06, 2023
Practice Location
- 10 Office Park Way
- Pittsford, NY 14534
Phone: (505) 249-6220
Mailing Address
- 601 Elmwood Ave
- Box: Psych
- Rochester, NY 14642-0001
Specialties
- Psychiatry Physician (2084P0800X)
- Child & Adolescent Psychiatry Physician (2084P0804X)
- Psychiatry Physician (2084P0800X)
Endpoints
- jwallace5513@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1649369976
- Entity Type
- Individual
- Last Name
- Wallace
- First Name
- James
- Middle Name
- M
- Credential
- MD
- Mailing Street Address
- 601 Elmwood Ave
- Mailing Address Line 2
- Box: Psych
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (505) 249-6220
- Mailing Fax
- (585) 276-0161
- Practice Street Address
- 10 Office Park Way
- Practice City
- Pittsford
- Practice State
- NY
- Practice ZIP Code
- 14534
- Practice Country
- US
- Practice Phone
- (505) 249-6220
- Practice Fax
- (585) 586-5512
- Enumeration Date
- October 12, 2006
- Last Updated
- July 06, 2023
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X), Child & Adolescent Psychiatry Physician (2084P0804X), Psychiatry Physician (2084P0800X)
- Other Identifiers
- EXCELLUS BCBS (NY, 2006), 01685092 (NY), PREFERRED CORE (NY, 102663Ew)