Alessia C Wallace

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

102310 Issued in CA

Practice address

8953 Arcade Rd
Atascadero, CA 93422-5305

Phone

(805) 458-9222

NPI assigned

Dec 11, 2011

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1323561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1629346275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8953 ARCADE RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225305",
            "telephone_number": "805-458-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8953 ARCADE RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225305",
            "telephone_number": "805-458-9222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8953 Arcade Road",
            "address_purpose": "LOCATION",
            "city": "Aiascadero",
            "state": "CA",
            "postal_code": "93422",
            "country_code": "US",
            "telephone_number": "805-512-7487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "ALESSIA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "102310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Susanne Waak, PA
• Rachel Wafford
• Sean A Waistell, P.T.
• Walgreen Co (Walgreens #07210)
• Sharon Dianne Walker, PHD
• Alicia Wallace, BCBA
• Anthony Paul Wallace, P.T.
• Kimberly Wallace
• Amy Marie Watson, LCSW
• Briana Watson

• Marriage & Family Therapist in Atascadero, CA
• Providers in Atascadero, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.