DR. CELESTE M WALLER (PSY D) – Clinical Psychologist, NPI 1144396425

DR. CELESTE M WALLER (PSY D) is a healthcare provider. based in Cincinnati, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY D. They hold a License No. 6042 (OH). The NPI Number for DR. CELESTE M WALLER (PSY D) is 1144396425

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. CELESTE M WALLER (PSY D)
NPI
1144396425
Phone
(513) 948-3721
Address
1101 SUMMIT RD
Enumeration Date
28 November 2006
Last Update Date
28 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5139483600
Graduation Year
1999 (27 years ago)
PAC ID
9739188053
Group Practice PAC ID
0143133181
Professional Enrollment ID
I20061215000051
Address ID
OH452372621CI1101XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

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Provider Addresses for DR. CELESTE M WALLER (PSY D)

  • Summit Behavioral Center, 1101, Summit Road, Carthage, Cincinnati, Hamilton County, Ohio, 45237, United States

    CINCINNATI, OH 452372621

    Phone: (513) 948-3721

    Fax: (513) 948-8631

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-12-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061215000051IClinical PsychologistOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45237)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143133181View full group profile
NameSpecialtyState
-OH
Clinical PsychologistOH
P S Y C H I A T R YOH
Certified Clinical Nurse Specialist (Cns)OH
Clinical PsychologistOH
Family PracticeOH
-OH
-OH
-MD
-OH

Reviews

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Frequently asked questions

What NPI should I save for DR. CELESTE M WALLER (PSY D)?
Save NPI 1144396425 if you need a stable reference for DR. CELESTE M WALLER (PSY D).
Is DR. CELESTE M WALLER (PSY D)'s NPI currently valid?
The extract we use shows DR. CELESTE M WALLER (PSY D) as active.
What field does DR. CELESTE M WALLER (PSY D) work in?
You can think of DR. CELESTE M WALLER (PSY D) as practicing within Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. CELESTE M WALLER (PSY D)?
The page summarizes Cincinnati, Ohio for DR. CELESTE M WALLER (PSY D); expand the address list for detail.
Is DR. CELESTE M WALLER (PSY D) a real provider?
This page reflects official NPPES data for NPI 1144396425. Always confirm identity and privileges with the practice and licensing boards.

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