Cary N Wallis, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6252 Issued in OH

Practice address

800 Compton Rd Unit 1
Cincinnati, OH 45231-3846

Phone

(513) 521-4405

NPI assigned

Jan 15, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Solutions--Center for Applied Psychology Inc.

  • Clinical Psychologist
  • Cincinnati, OH
  • NPI 1487701553
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215088554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3038 PENROSE PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452116718",
            "telephone_number": "513-484-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COMPTON RD UNIT 1",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452313846",
            "telephone_number": "513-521-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLIS",
        "first_name": "CARY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "1430",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria I Waller, CCDC 1
• Robert C Waller, MD
• Theodore Waller, M.D.
• Lorena J Wallhausser, M.D.
• Lexie Rien Wallingford
• Megan Wallis
• Christina Wallpe, L.P.N.
• Bruce Walls, MD
• Kristen Ann Walls, RN
• Shawn William Walls, DPM

• Clinical Psychologist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.