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

Eric Wallace, PHD

Individual provider Counseling Psychologist · NPI 1912409160

Eric Wallace, PHD is a Clinical Psychologist in Shaker Heights, Ohio. Qualified in 2017, 9 years ago. Practices with State of Ohio Office of Budget and Management State Accounting, a 109-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2018
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

22001 Fairmount Blvd
Shaker Heights, OH 44118-4819
Phone: (216) 320-8456
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence P.07864 (OH)

Record details

NPI number1912409160
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 5, 2018
Last updated in NPPESMarch 20, 2019
Mailing address22001 Fairmount Blvd, Shaker Heights, OH 44118-4819

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice State Of Ohio Office Of Budget And Management State Accounting — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount