NPPES file of Aug 9, 2026

Amanda Jo Wallace, PSY.D.

Clinical Psychologist · Poplar Bluff, MO

Amanda Jo Wallace, PSY.D. is a clinical psychologist with a practice address in Poplar Bluff, Missouri, and NPI 1972908010, issued on Oct 31, 2014. Check the license (Missouri 2009031094, as entered in NPPES) with the Missouri board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1972908010
Name
Amanda Jo Wallace
Credential
PSY.D.
Primary taxonomy
Clinical Psychologist 103TC0700X
License number
2009031094 MO
Self-reported in NPPES; status is on the state search
Practice location
1500 N Westwood Blvd, Poplar Bluff, MO 63901
Phone
(573) 778-4122
Enumerated
Oct 31, 2014
Record last updated
Oct 31, 2014 (not updated in 12 years: call before relying on the address or phone)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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8 nearest clinical psychologist records → All 911 in Missouri → Look up another NPI →

Also registered at 1500 N Westwood Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

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  5. Cheryl Allen, NPFamily Nurse Practitioner1841392388
  6. Napoleon Almaria, M.D.Internal Medicine Physician1457442808

Verify Amanda Jo Wallace in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Missouri board licenses this profession
    Search for license 2009031094    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Missouri license search

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Amanda Jo Wallace among 911 clinical psychologist records in Missouri

Amanda Jo Wallace, PSY.D. is one of 911 clinical psychologist records with a practice address in Missouri. 16% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2014, is newer than 68% of them.

  • NPI issued2014 · 68% of these records are older, 28% newer
  • In a Medicare fileNo · 16% of these records are
  • In the CMS Doctors and Clinicians fileNo · 23% of these records are
  • Record last updated2014 · 59% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Clinical Psychologist providers in Missouri

There are 911 clinical psychologist records in Missouri. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 911 in Missouri → Every provider in Poplar Bluff → Clinical Psychologist nationwide →

The 8 clinical psychologist records with the nearest ZIP codes

  1. John Barbour, PHDPoplar Bluff, MO 639011700970415
  2. Matthew Geyer, PSY.D.Poplar Bluff, MO 639011386895233
  3. Bridget Hurt, PSY.D.Poplar Bluff, MO 639011316925217
  4. Marylee Jennings, PSY.D.Poplar Bluff, MO 639011245283415
  5. Donna Parkinson, PH.D.Poplar Bluff, MO 639011316055965
  6. Amber Richardson, PHDPoplar Bluff, MO 639011265712780
  7. John Wood, PSY.D.Poplar Bluff, MO 639011124035449
  8. Dana Reeder, PSYDDexter, MO 638411578932778

Common questions

What is Amanda Jo Wallace, PSY.D.'s NPI number?

Amanda Jo Wallace, PSY.D.'s National Provider Identifier (NPI) is 1972908010, issued on Oct 31, 2014. An NPI identifies a provider in billing; it is not a license.

Where is Amanda Jo Wallace, PSY.D. located?

The NPPES record lists a practice address at 1500 N Westwood Blvd, Poplar Bluff, MO, 63901. Phone: (573) 778-4122. Providers update this record themselves, so call before visiting.

How can I verify Amanda Jo Wallace, PSY.D.'s license?

NPPES lists Missouri license number 2009031094, as entered by the provider. Search the Missouri board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.