Individual provider · Type 1 NPI

Paul Michael Wallace, MD

Psychiatry Physician · Providence, RI

NPI number 1265991335 Active

Practice location

528 N Main St
Providence, RI 02904

Call (401) 528-0123 Map

Fax (401) 528-0124

Mailing address

528 N Main St Unit 4
Providence, RI 02904-5770

Other practice locations

  • 530 N Main St, Providence, RI 02904-5762 · (401) 274-2500

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician Primary 2084P0800XMD19363 (RI)

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

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About NPI 1265991335

Paul Michael Wallace, MD's National Provider Identifier is 1265991335, issued on Mar 18, 2019. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Providence, RI. The record was last updated on Dec 18, 2025.