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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Randall Kent Wallace, PSY.D.

Clinical Psychologist in Hartford, CT · enumerated 2012 · practices at Cnc Celestial Home Care LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1891049003

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Registry record

Entity type Individual (Type 1)
Name Dr. Randall Kent Wallace
Credential PSY.D.
Sex Male
Practice address Hartford, CT, 06106
Phone (860) 466-9411
Enumeration date Nov 9, 2012
Last updated in NPPES Nov 9, 2016

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 2544 (CT) Primary
PSYD · Doctor of Psychology: A clinical doctorate in psychology focused on professional practice. About the PSYD credential

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.

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Frequently asked questions

Where does Randall Wallace practice?
The practice location on file with NPPES is in Hartford, CT. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Randall Wallace?
The National Provider Identifier (NPI) for Randall Wallace is 1891049003, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-11-09.