Individual Healthcare Provider
Kezia Wallerson
Provider's NPPES record last updated: February 12, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1831041730
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Practice Location
- Montclair, New Jersey
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 8:42 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Residential Treatment Facilities
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Taxonomy code 320900000X Psychologist
Intellectual & Developmental Disabilities
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 103TM1800XNutritionist
Nutrition, Education
Dietary & Nutritional Service Providers
Definition to come...
Taxonomy code 133NN1002XSpecialist
Other Service Providers
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Taxonomy code 174400000XHealth Educator
Other Service Providers
Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.
Taxonomy code 174H00000X
Practice Locations
Practice Location
25 High St Apt C1
Montclair, New Jersey 07042-2452
Phone: (315) 415-7148
Record Information
- Enumeration Date
- February 12, 2026
- Provider's NPPES Record Last Updated
- February 12, 2026
- Certification Date
- February 12, 2026
- NPISignal NPPES Dataset
- August 2026
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