W WADE PHD LP LLC (NPI# 1477859940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477859940 |
| Entity Type | Organization |
| Organization Name | W WADE PHD LP LLC |
| Practice Address |
4500 Park Glen Rd Suite 270 St Louis Park MN 55416-4871 |
| Practice Telephone | 9529299478 |
| Practice Fax Number | 9529299548 |
| Mailing Telephone | 9529299478 |
| Mailing Fax Number | 9529299548 |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-02-01 |
| Authorized Official Name | DR. WENDY ANN WADE (OWNER) |
| Authorized Official Telephone | 6123856392 |
| Authorized Official Credential | PHD LP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
LP5259 | MN | Ambulatory Health Care Facilities |
| Street Address |
4500 PARK GLEN RD SUITE 270 |
| 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 |
| 1851603393 | Wendy Ann Wade | Psychologist | 4500 Park Glen Rd, Suite 360, St Louis Park, MN 55416-4871 | 2010-07-13 |
| 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 | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396300877 | Empowerment Solutions | Clinic/Center | 2849 Jersey Ave S, St Louis Park, MN 55426-3305 | 2019-05-09 |
| 1831514876 | Arbor Therapy Center, LLC | Clinic/Center | 1660 Highway 100 S Ste 300, St Louis Park, MN 55416-1563 | 2014-02-27 |
| 1326486507 | Aspen Psychological Consulting, LLC | Clinic/Center | 1660 Highway 100 S Ste 332, St Louis Park, MN 55416-1573 | 2013-06-10 |
| 1699196337 | Marie Casey Olseth, Md, LLC | Clinic/Center | 1550 Utica Ave S, Ste 450, St Louis Park, MN 55416-5312 | 2013-12-24 |
| 1508053273 | Clinical Psychopharmacology Consultants, Pa | Clinic/Center | 3601 Park Center Blvd, Suite 207, St Louis Park, MN 55416-2531 | 2007-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123376 | Como Behavioral Care LLC | Clinic/Center | 441 Old Highway 8 Nw Ste 213, New Brighton, MN 55112-3235 | 2020-10-27 |
| 1962000646 | Life Care Health Services LLC | Clinic/Center | 1808 Riverside Ave Ste 211, Minneapolis, MN 55454-1121 | 2020-10-14 |
| 1639788755 | Cazares Professional Therapy | Clinic/Center | 166 Farrington St, Saint Paul, MN 55102-2104 | 2020-07-24 |
| 1770100877 | Halabrin Marty and Associates | Clinic/Center | 12760 Aberdeen St Ne Ste 2122760, Blaine, MN 55449-5845 | 2020-07-06 |
| 1891312732 | Healthy Balance Psychology, LLC | Clinic/Center | 1550 Sunset Dr Sw, Owatonna, MN 55060-3854 | 2020-06-26 |
| 1134745300 | Quality Care Counseling Services LLC | Clinic/Center | 4141 Central Ave Ne Ste 250, Columbia Heights, MN 55421-3611 | 2020-06-23 |
| 1780207829 | Amazing You Therapy, LLC | Clinic/Center | 421 1st Ave Sw Ste 300w, Rochester, MN 55902-3389 | 2020-05-23 |
| 1609499813 | Bright Place LLC | Clinic/Center | 3835 Bakken Blvd, Columbia Heights, MN 55421-5056 | 2020-05-21 |
| 1568082428 | Cloud Home Health Care Services LLC | Clinic/Center | 22 Wilson Ave Ne Ste 208, Saint Cloud, MN 56304-0440 | 2020-04-21 |
| 1235763814 | Monarch Wellness LLC | Clinic/Center | 51 E 4th St Ste 309, Winona, MN 55987-3791 | 2020-02-23 |
| Find all providers with the same taxonomy | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
Please comment or provide details below to improve the information on W WADE PHD LP LLC.
| 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.