Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Jennifer Wallace
Psychologist in West Bloomfield, MI · enumerated 2012.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1295083897
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Registry record
Entity type Individual (Type 1)
Name Jennifer Wallace
Sex Female
Practice address 4226 Green Lake Rd, West Bloomfield, MI, 48323
Phone (248) 404-5616
Enumeration date Aug 29, 2012
Last updated in NPPES Aug 29, 2012
Taxonomy & licenses
103T00000X Psychologist Behavioral Health & Social Service Providers · License 6301014813 (MI) Primary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Jennifer Wallace practice?
The practice location on file with NPPES is in West Bloomfield, MI. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jennifer Wallace?
The National Provider Identifier (NPI) for Jennifer Wallace is 1295083897, a Type 1 (individual) record in the CMS NPPES registry.
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-08-29.