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Active NPI 1912409160 Individual Practitioner Male Practitioner

Dr. Eric Wallace , PhD

Psychologist - Counseling • Shaker Heights, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Eric Wallace, PhD is a certified Psychologist - Counseling practicing in Shaker Heights, OH. With approximately 9 years of clinical experience since completing medical education in 2017, Dr. Wallace delivers high-quality medical care to the local community at 22001 FAIRMOUNT BLVD.

Dr. Wallace is affiliated with State Of Ohio Office Of Budget And Management State Accounting and accepts Medicare assignment.

Frequently performed procedures and clinical services include group psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

22001 Fairmount Blvd

Shaker Heights, OH 441184819

Telephone 2163208456
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Counseling in Shaker Heights, OH

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs Matches City Avg
City Avg: 9.0 Yrs
State Avg: 26.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Shaker Heights, OH (219 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (9 Years) 9 Yrs
Shaker Heights Specialty Average (9.0 Years) 9.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90853 Group psychotherapy
31 13 $21.99 $21.63

Medical Specialties & State Licenses

Psychologist - Counseling Primary Specialty

NUCC Taxonomy Code: 103TC1900X

State License OH P.07864

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.

Hospital & Practice Group Affiliations

State Of Ohio Office Of Budget And Management State Accounting

1756 Sagamore Rd, Northfield, OH 440671086

Phone: 3308333135

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Laura Mcclure , RN

Registered Nurse

NPI 1003110966

Registered Nurse

Stephanie Sava , LPCC-S

Counselor - Mental Health

NPI 1003112301

LPCCS

Kerry Katz , LISW-S

Social Worker - Clinical

NPI 1003119942

LISWS

John Taggart , QMHS

Case Manager/Care Coordinator

NPI 1003646597
Jeongmin Jin

Case Manager/Care Coordinator

NPI 1003796814
Pamela Budak , LISW-S

Social Worker - Clinical

NPI 1013001734

LISWS

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2019

Psychologist (License #P.07864 in OH)

NPI Profile Active March 05, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 05, 2018

Registered at 22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 441184819 (Tel: 2163208456)

📍
Updated Business Mailing Address March 05, 2018

Registered at 22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 441184819 (Tel: 2163208456)

👤
Provider Name / Credentials Updated March 05, 2018

Recorded as ERIC WALLACE, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2018

Psychologist

🟢
Initial NPI Registration & Enumeration March 05, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912409160
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2018
Last Update: March 20, 2019
Sole Proprietor: No

Mailing Address

22001 Fairmount Blvd

Shaker Heights, OH 441184819

Phone: 2163208456

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.