P Praxis·MD
● Active Type 1 · Individual

Triphinia M Wallace, PSY.

Psychologist·Brookhaven, GA· NPI 1902938558 · Enumerated 2007 · 19 years on NPI
Wallace is 1 of 5 psychologist providers in Brookhaven and 1 of 1114 in Georgia.
NPI age
19 years
Enumerated 2007-03-09
Primary specialty
Psychologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-03-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1114 active psychologist providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Practice location
4062 Peachtree Rd Ne # 190a
Brookhaven, GA 303193021
📞 4043172283fax 4043936692
Mailing address
4062 Peachtree Rd Ne # 190a
Brookhaven, GA 303193021
📞 4043172283fax 4043936692

Specialties

  • Psychologist Primary
    A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles,...
    GA license #GA003723 taxonomy 103T00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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