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

Dr. Maxwell Wallace, PSYD

Individual provider Clinical Psychologist · NPI 1639676299

Dr. Maxwell Wallace, PSYD is a Clinical Psychologist in Rochester, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

600 Park Avenue Carriage House
Rochester, NY 14607
Phone: (585) 449-0125
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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 022525 (NY)

Record details

NPI number1639676299
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedApril 10, 2018
Last updated in NPPESJuly 19, 2018

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