Elizabeth Wallach, MA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS6340L Issued in PA

Practice address

1061 Waterdam Plaza Dr Ste 208
Canonsburg, PA 15317-5408

Phone

(724) 413-4991

Fax

(724) 260-0221

NPI assigned

Mar 26, 2007

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

Other identifiers 1

Other names 1

• Ms. Elizabeth Daily Wallach Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Beth Wallach, Ma, Psychologist, LLC

  • Adult Mental Health Clinic/Center
  • Canonsburg, PA
  • NPI 1285762336

  Psychologist

  Medicare reassignment NPD Authorized official
• Elizabeth Wallach Ma Psychologist

  • Psychologist
  • McMurray, PA
  • NPI 1588836936
  NPD Authorized official

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1750409041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 WATERDAM PLAZA DR STE 208",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153175408",
            "telephone_number": "724-413-4991",
            "fax_number": "724-260-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 WATERDAM PLAZA DR STE 208",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153175408",
            "telephone_number": "724-413-4991",
            "fax_number": "724-260-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACH",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS6340L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001523992001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DAILY WALLACH",
            "prefix": "MS.",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shannon Vissman, DPT
• Victoria Vitullo, MA, CRC, LPC
• Walgreen Co (Walgreens #21391)
• Walgreen Co (Walgreens #10786)
• Nicole A Walker
• Arlene Michelle Warywoda
• Lianne Wassell, MA, NCC, LPC
• Joseph Anthony Wateska, D.M.D. MS
• We Talk Straight - Counseling LLC
• We Talk Straight - Counseling, LLC

• Psychologist in Canonsburg, PA
• Providers in Canonsburg, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.