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Dr. Gemma Wallace , PhD

Psychologist β€’ Providence, RI

Active NPI 1093257123 Individual Practitioner Female Practitioner
Practice location in NPPES

345 Blackstone Blvd Ste 2
Providence, RI 029064829

Call 4014556200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

345 Blackstone Blvd Ste 2

Providence, RI 029064829

Telephone 4014556200
Organization at the Same NPPES Address or Phone
Butler Hospital Facility NPI 1104801349

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Providence and Rhode Island

121 active clinicians are listed under Psychologist with a practice address in Providence, RI (245 in Rhode Island).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Providence

5% of these 121 clinicians have the CMS telehealth indicator.

11.6% of these 121 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-05-30
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES RI PS02336

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Community Health Worker

NUCC Taxonomy Code: 172V00000X

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Rhode Island State Medical Licensing Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Linda Aguiar , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1457965998

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Dr. Raja Ramis Akhtar , MD

Psychiatry & Neurology - Psychiatry

NPI 1326609488

Doctor of Medicine (M.D.)

Dr. Sadaf Ali , MD

Psychiatry & Neurology - Psychiatry

NPI 1710091335

Doctor of Medicine (M.D.)

Lenna Bailey , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1457116444

Psychiatric-Mental Health Nurse Practitioner

Dr. Paul Baker , MD

Psychiatry & Neurology - Psychiatry

NPI 1730592379

Doctor of Medicine (M.D.)

Thomas Bales , PA-C

Physician Assistant

NPI 1649766114

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location May 30, 2025

Registered at 345 BLACKSTONE BLVD STE 2, PROVIDENCE, RI 029064829 (Tel: 4014556200)

πŸ‘€
Provider Name / Credentials Updated May 30, 2025

Recorded as GEMMA WALLACE, PHD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2025

Psychologist (license number reported to NPPES: RI PS02336)

βœ…
NPI Profile Active November 07, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 07, 2016

Registered at 344 E 100 S, SUITE 301, SALT LAKE CITY, UT 841111700 (Tel: 8013224257)

πŸ“
Business Mailing Address (Initial Record) November 07, 2016

Registered at 414 E VAN NESS PL, SALT LAKE CITY, UT 841114312 (Tel: 3157506733)

πŸ‘€
Provider Name / Credentials (Initial Record) November 07, 2016

Recorded as GEMMA WALLACE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2016

Community Health Worker

🟒
Initial NPI Registration & Enumeration November 07, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1093257123
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2016
Last Update: May 30, 2025
Sole Proprietor: No

Other Psychologists in Providence

All Psychologists in Providence

Mailing Address

414 E Van Ness Pl

Salt Lake City, UT 841114312

Phone: 3157506733

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.