WALLACE GLENN JAMISON MD NPI 1215943279

NPI Information

  • NPI: 1215943279
  • Provider Name: WALLACE GLENN JAMISON, MD
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3285 122ND AVE
    ALLEGAN, MI
    ZIP 49010
  • Phone: (269) 673-6617

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NPI Details

Wallace Glenn Jamison, MD is a psychiatry psychiatry neurology in Allegan, MI with 56 years of experience. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. Wallace Glenn Jamison, MD NPI is 1215943279. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HARVARD MEDICAL SCHOOL
Graduation Year:1970

The provider's business location address is:

3285 122ND AVE
ALLEGAN, MI
ZIP 49010-511
Phone: (269) 673-6617

The NPI 1215943279 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 3/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatry234609NEW YORKNo
22084P0800XPsychiatry & NeurologyPsychiatry4301508760MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1168245EUOTHERPREFERRED CARE
2P010234609OTHERBLUE CHOICE
3168245EUOTHERNEW YORKPREFERRED CARE
4P010234609OTHERNEW YORKBLUE CHOICE
502643823MEDICAIDNEW YORK
6P020234609OTHERROCHESTER BLUE SHIELD
7RA6483OTHERNEW YORKRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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