WENDY ANN WADE (NPI# 1851603393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851603393 |
| Entity Type | Individual |
| Full Name | WENDY ANN WADE |
| Credential | PHD |
| Practice Address |
4500 Park Glen Rd Suite 360 St Louis Park MN 55416-4871 |
| Practice Telephone | 9529299478 |
| Practice Fax Number | 9529299548 |
| Mailing Telephone | 9529299478 |
| Mailing Fax Number | 9529299548 |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-07-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP5259 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114217148 | Wendy Jo Wade | Marriage & Family Therapist | 818 Golden Way Nw, Isanti, MN 55040-6508 | 2011-04-11 |
| 1871950493 | Wendy Wade | Nurse Practitioner | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2016-01-27 |
| 1578768834 | Wendy Wade | Counselor | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2007-06-18 |
| Street Address |
4500 PARK GLEN RD SUITE 360 |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416-4871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265427629 | Renee T Vonweiss | Psychologist | 4500 Park Glen Rd, Suite 450, St Louis Park, MN 55416-4871 | 2005-09-13 |
| 1235524521 | Dawn Draayer-thibodeau, LLC | Social Worker | 4500 Park Glen Rd, Suite 155, St Louis Park, MN 55416-4871 | 2015-04-02 |
| 1457757957 | Benjamin Powers | Counselor | 4500 Park Glen Rd, Suite 155, St Louis Park, MN 55416-4871 | 2014-11-10 |
| 1891118931 | Brighton Hospice Minnesota, LLC | Hospice Care, Community Based | 4500 Park Glen Rd, Suite 475, St Louis Park, MN 55416-4871 | 2014-01-26 |
| 1609214311 | Susan E Nicol Phd LLC | Psychologist | 4500 Park Glen Rd, Suite 270, St Louis Park, MN 55416-4871 | 2013-06-05 |
| 1477859940 | W Wade Phd Lp LLC | Clinic/Center | 4500 Park Glen Rd, Suite 270, St Louis Park, MN 55416-4871 | 2011-02-01 |
| 1679896682 | Janey Dorgan Nelson | Social Worker | 4500 Park Glen Rd, Suite 155, St Louis Park, MN 55416-4871 | 2010-03-04 |
| 1598800146 | Franklin Clinic, Ltd. | Psychologist | 4500 Park Glen Rd, #150, St Louis Park, MN 55416-4871 | 2007-02-21 |
| 1699814111 | Franklin Clinic, Ltd | Marriage & Family Therapist | 4500 Park Glen Rd, #150, St Louis Park, MN 55416-4871 | 2007-02-05 |
| 1164561593 | Thomas Jacobs | Marriage & Family Therapist | 4500 Park Glen Rd, #150, St Louis Park, MN 55416-4871 | 2007-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265768337 | Natalie Marie Marr | Psychologist | 6121 Excelsior Blvd, Ste 101a, St Louis Park, MN 55416-2752 | 2009-10-26 |
| 1205038387 | Alyson Mease Vanahn | Psychologist | 4240 Park Glen Rd, St Louis Park, MN 55416 | 2007-06-01 |
| 1669694550 | Deborah Bushway | Psychologist | Parkdale Plaza, 1660 South Hwy 100, St Louis Park, MN 55427 | 2007-05-02 |
| 1508988981 | Sandra Ruth Streitman | Psychologist | 9031 W 34th St, St Louis Park, MN 55426-3703 | 2007-04-04 |
| 1215055587 | Dawn Elizabeth Mcclelland | Psychologist | 1660 S Hwy 100, #428, St Louis Park, MN 55416 | 2007-03-26 |
| 1770636771 | Lydia Gail Roth-laube | Psychologist | 1660 Highway 100 S Ste 142, St Louis Park, MN 55416-1562 | 2007-01-21 |
| 1033208566 | Sharon Kay Ondich | Psychologist | 5353 Gamble Drive, Suite 108, St Louis Park, MN 55416-1539 | 2006-10-12 |
| 1013970250 | Rachel Jane Allyn | Psychologist | 4200 Minnetonka Blvd, St Louis Park, MN 55416-5191 | 2006-04-10 |
| 1275519795 | David Randal | Psychologist | Park Nicollet Clinic Idc, 3800 Park Nicollet Blvd, St Louis Park, MN 55416 | 2005-12-16 |
| 1265427629 | Renee T Vonweiss | Psychologist | 4500 Park Glen Rd, Suite 450, St Louis Park, MN 55416-4871 | 2005-09-13 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
Please comment or provide details below to improve the information on WENDY ANN WADE.
| 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.