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

Dr. James Irwin Wallace, PHD

Individual provider Clinical Psychologist · NPI 1215051917

Dr. James Irwin Wallace, PHD is a Clinical Psychologist in Hamilton, New York. Graduated from University of Southern California Keck School of Medicine in 1984, 42 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
42
Trained at
University of Southern California Keck School of Medicine
Licensed in
NY
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

40 Milford St
Hamilton, NY 13346-1009
Phone: (315) 750-6497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 009265 (NY)

Record details

NPI number1215051917
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 19, 2007
Last updated in NPPESDecember 5, 2011
Mailing address7295 Butternut Ln, Hamilton, NY 13346-2124

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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