Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Rose Wallace, MD

Individual provider Psychiatry Physician · NPI 1649665977

Amanda Rose Wallace, MD is a Psychiatry Physician in New York, New York. Practices as a sole proprietor and works from 2 locations. Licensed in California and New York.

Licensed in
CA, NY
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

525 E 68th St
New York, NY 10065
Phone: (212) 746-1641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 525 E 68th St, New York, NY 10065 — (212) 746-1641

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 297971 (NY)
Psychiatry Physician Taxonomy 2084P0800X · Licence 144544 (CA)

Record details

NPI number1649665977
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 3, 2015
Last updated in NPPESSeptember 11, 2019

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