NPPES file of Aug 9, 2026

Casey Wallace

Clinical Psychologist · Commerce Township, MI

Casey Wallace is a clinical psychologist with a practice address in Commerce Township, Michigan, and NPI 1619541877, issued on May 13, 2021. Check the license (Michigan 6362009880, as entered in NPPES) with the Michigan 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
1619541877
Name
Casey Wallace
Primary taxonomy
Clinical Psychologist 103TC0700X
License number
6362009880 MI
Self-reported in NPPES; status is on the state search
Practice location
2045 E West Maple RD Ste D405, Commerce Township, MI 48390
Phone
(248) 669-9500
Enumerated
May 13, 2021
Record last updated
Jan 4, 2024
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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Also registered at 2045 E West Maple RD Ste D405

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

  1. Emily Clark, MA, LLCMental Health Counselor1932997855
  2. Whitney RudisSocial Worker1104687714
  3. Eric SamsonPsychologist1255944096
  4. Alegra Westphalen, LPPsychologist1811798382

Verify Casey Wallace in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Michigan board licenses this profession
    Search for license 6362009880
    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 Michigan license search

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Casey Wallace among 2,965 clinical psychologist records in Michigan

Casey Wallace is one of 2,965 clinical psychologist records with a practice address in Michigan. 13% 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 2021, is newer than 86% of them.

  • NPI issued2021 · 86% of these records are older, 12% newer
  • In a Medicare fileNo · 13% of these records are
  • In the CMS Doctors and Clinicians fileNo · 24% of these records are
  • Record last updated2024 · 62% 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 Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

7 clinical psychologist records list a practice address in Commerce Township

They are 7 of the 462 NPPES records with a practice address in Commerce Township, and 2,965 clinical psychologist records in Michigan. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 clinical psychologist records with the nearest ZIP codes

  1. Troy Amber, MA, TLLPWalled Lake, MI 483901508542648
  2. Diana Ashaka, LLPCommerce Township, MI 483901295332773
  3. Melissa Bogdalek, PSYD, LLPWalled Lake, MI 483901992269633
  4. Audra Crawford, TLLPCommerce Township, MI 483901992423149
  5. Ronda Diegel, PH.D.Walled Lake, MI 483901881872141
  6. Amanda Durand, MS, LLPCommerce Township, MI 483901972632941
  7. Melanie Kase, MA, LLPWalled Lake, MI 483901083053748
  8. Nicole Miller, PHDCommerce Township, MI 483901174009484

Common questions

What is Casey Wallace's NPI number?

Casey Wallace's National Provider Identifier (NPI) is 1619541877, issued on May 13, 2021. An NPI identifies a provider in billing; it is not a license.

Where is Casey Wallace located?

The NPPES record lists a practice address at 2045 E West Maple RD Ste D405, Commerce Township, MI, 48390. Phone: (248) 669-9500. Providers update this record themselves, so call before visiting.

How can I verify Casey Wallace's license?

NPPES lists Michigan license number 6362009880, as entered by the provider. Search the Michigan 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.

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.