AUSTIN P. WADE (NPI# 1023563889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023563889 |
| Entity Type | Individual |
| Full Name | AUSTIN P. WADE |
| Credential | PSY.D. |
| Practice Address |
1003 Flint Ave Lubbock TX 79409 |
| Mailing Address |
Texas Tech University Student Counseling Center Box 45008 Lubbock TX 79409-5008 |
| Practice Telephone | 8067423674 |
| Mailing Telephone | 8067423674 |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2018-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
T-LMLP 2720 | KS | Behavioral Health & Social Service Providers |
| Street Address |
1003 FLINT AVE |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729973 | Susan Jenelle Stanford | Pharmacist | 1003 Flint Ave, Lubbock, TX 79409-9803 | 2020-10-30 |
| 1124516240 | John Blake Keith Purcell | Marriage & Family Therapist | 1003 Flint Ave, Lubbock, TX 79409-9803 | 2018-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841828126 | Luke Malone | Student in an Organized Health Care Education/Training Program | 2503 Mac Davis Lane, Lubbock, TX 79409 | 2020-03-31 |
| 1104221928 | Amanda Dorsten | Specialist/Technologist | 6216 66th St, Lubbock, TX 79409 | 2014-10-23 |
| 1124420427 | Chrystal Jansz | Behavioral Analyst | 2902 18th Street, Lubbock, TX 79409 | 2014-09-18 |
| 1205044740 | Texas Tech University Psychology Clinic | Psychologist | 18th Street and Boston Avenue, Lubbock, TX 79409 | 2007-05-18 |
| 1578682175 | Stephen Michael Pincock | Specialist/Technologist | 6th & Red Raider Ave., Atf Box 43021, Lubbock, TX 79409 | 2007-03-28 |
| 1871636738 | Texas Tech Student Health Pharmacy | Pharmacy | 1003 Flint Ave., Lubbock, TX 79409 | 2007-02-14 |
| 1871996421 | Jason C Cohen | Behavioral Analyst | 2902 18th Street, Lubbock, TX 79409 | 2014-09-26 |
| 1710389317 | Texas Tech University | Behavioral Analyst | 2902 18th Street, Lubbock, TX 79409 | 2014-09-25 |
| 1215339452 | Wesley H Dotson | Behavioral Analyst | 2902 18th Street, Lubbock, TX 79409 | 2014-09-18 |
| 1265643654 | Sara Ann Smock | Marriage & Family Therapist | Applied and Professional Studies,broadway and Akron St., Rm 260, Human Sciences, Box 41162, Lubbock, TX 79409-1162 | 2007-05-25 |
| Find all providers in zip 79409 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801304282 | Julie H. Verrone, Psy.d., P.C. | Psychologist | 7021 Kewanee Ave Unit 2104, Lubbock, TX 79424-7049 | 2018-01-19 |
| 1578896056 | Valerie Meghan Johnson | Psychologist | 3506 21st St Ste 400, Lubbock, TX 79410-1200 | 2009-09-15 |
| 1942482088 | Michael David Rudd | Psychologist | 4402 93rd Dr, Lubbock, TX 79424-5106 | 2007-11-30 |
| 1588793442 | Joy Phelps Vroonland | Psychologist | 6902 87th St, Lubbock, TX 79424-4715 | 2007-03-05 |
| 1881723674 | Gregory H. Mumma | Psychologist | 3709 22nd Pl Unit C, Lubbock, TX 79410-1333 | 2007-03-05 |
| 1477693273 | David Warren King Jr. | Psychologist | 2702 57th St, Lubbock, TX 79413-5605 | 2007-02-08 |
| 1356428007 | Catherine Henson Lanham | Psychologist | 7021 Kewanee Ave Unit 7101, Lubbock, TX 79424-7050 | 2006-11-01 |
| 1891888715 | Maralyn Billings | Psychologist | 5717 66th St Ste 120, Lubbock, TX 79424 | 2006-10-02 |
| 1831107143 | Paul Dave Whittaker | Psychologist | 6532 86th St, Lubbock, TX 79424-4770 | 2006-08-03 |
| 1316978703 | Brian D. Carr | Psychologist | 3709 22nd Pl, Suite C, Lubbock, TX 79410-1333 | 2006-07-05 |
| Find all providers in LUBBOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.