Triphinia M. Wallace, PSY.
NPI 1902938558ActiveIndividual· Psychologist· Brookhaven, GA
Psychologist (PSY.) in Brookhaven, Georgia, licensed in GA, with an NPI issued in March 2007.
Overview
| NPI | 1902938558 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY. |
| Sole proprietor | No |
| NPI issued | Mar 9, 2007 |
| Last updated in NPPES | Mar 14, 2025 |
| Certified by provider | Mar 14, 2025 |
| Reactivated | Nov 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | GA003723 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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