MARY WALLACE
NPI 1528585031
Psychologist - School in Canton, IL

NPI Status: Active since August 25, 2017

Contact Information

1605 E ASH ST
CANTON, IL
ZIP 61520
Phone: (309) 647-6951

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  • Individual
  • Female
  • Psychologist
  • School

About MARY WALLACE

This page provides the complete NPI Profile along with additional information for Mary Wallace, a provider established in Canton, Illinois with a medical specialization in Psychologist, focusing in school . The healthcare provider is registered in the NPI registry with number 1528585031 assigned on August 2017. The practitioner's primary taxonomy code is 103TS0200X. The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1528585031
Provider Name
MARY WALLACE
Gender
Female
Entity Type
Individual
Location Address
1605 E ASH ST CANTON, IL 61520
Location Phone
(309) 647-6951
Mailing Address
1605 E ASH ST CANTON, IL 61520
Mailing Phone
(309) 647-6951
Is Sole Proprietor?
No
Enumeration Date
08-25-2017
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist School

Taxonomy Code
103TS0200X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528585031
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25481081006
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 1 + 0 + 8 + 1 + 0 + 0 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1528585031 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962014977 MAKENZIE MAYALL
Individual
Speech-Language Pathologist1605 E ASH ST
CANTON, IL 61520
(309) 647-6951

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528585031, enumerated in the NPI registry as an "individual" on August 25, 2017

The provider is located at 1605 E Ash St Canton, Il 61520 and the phone number is (309) 647-6951

The provider's speciality is Psychologist with taxonomy code 103TS0200X with a focus in School

This NPI record was last updated on August 25, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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