Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PAUL MICHAEL WALLACE, MD
ActiveDR. PAUL MICHAEL WALLACE, MD is a Psychiatry healthcare provider located in PROVIDENCE, Rhode Island. NPI 1265991335 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · PROVIDENCE, RI
Registration Details
- NPI Number
- 1265991335
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 18, 2019 (7.4536819490073 yrs)
- Last Updated
- Dec 18, 2025
- License
-
MD19363 (RI)
Practice Information
- Address
-
528 N MAIN STPROVIDENCE, RI, 02904Browse RI providers · Browse ZIP 02904
- Phone
- 4015280123
- Fax
- 4015280124
- Primary Specialty
-
Psychiatry
2084P0800X
Other Psychiatry Providers in PROVIDENCE, RI
| Name | Credential | NPI |
|---|---|---|
| GHULAM MUSTAFA SURTI | MD | 1861499675 |
| DAVID A KAHN | MD | 1679570311 |
| DR. JAMES EDWARD GREER | MD | 1548268303 |
| ANDREA MERNAN | MD | 1326047218 |
| KATHLEEN D. ASKLAND | MD | 1568443992 |
| DANIELA A BOERESCU | MD | 1386628154 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.