DR. EILEEN GERILYN WADE-STEIN (NPI# 1598168353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598168353 |
| Entity Type | Individual |
| Full Name | DR. EILEEN GERILYN WADE-STEIN |
| Credential | PH.D. |
| Practice Address |
1244 Pine St Boulder CO 80302-4809 |
| Practice Telephone | 3035466867 |
| Mailing Telephone | 3035466867 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2586 | CO | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
2586 | CO | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
2586 | CO | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 2586 | CO | Behavioral Health & Social Service Providers |
| Street Address |
1244 PINE ST |
| City | BOULDER |
| State | CO |
| Zip Code | 80302-4809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033144472 | Daniel Joseph Courtney | Social Worker | 1244 Pine St, Boulder, CO 80302-4809 | 2006-07-12 |
| 1992365027 | Eva Jahn | Counselor | 1244 Pine St, Boulder, CO 80302-4809 | 2019-06-20 |
| 1366907719 | Alberta Gaea Logan | Counselor | 1244 Pine St, Boulder, CO 80302-4809 | 2019-02-08 |
| 1740656305 | Patti Wade, Ms, Ccc-slp | Clinic/Center | 1244 Pine St, Boulder, CO 80302-4809 | 2015-08-18 |
| 1275947269 | Caroline Roy | Social Worker | 1244 Pine St, Boulder, CO 80302-4809 | 2014-06-17 |
| 1861820185 | Krista Malek | Counselor | 1244 Pine St, Boulder, CO 80302 | 2013-10-23 |
| 1003257973 | Cindy J Smith | Social Worker | 1244 Pine St, Boulder, CO 80302-4809 | 2013-07-08 |
| 1477804102 | Katherine Shaw Kripke | Social Worker | 1244 Pine St, Boulder, CO 80302-4809 | 2012-09-20 |
| 1962640185 | Debbie Warshaw Gould | Counselor | 1244 Pine St, Boulder, CO 80302-4809 | 2009-01-26 |
| 1174742308 | Jessica Susan Mccrea | Psychologist | 1244 Pine St, Boulder, CO 80302-4809 | 2007-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323347 | Aviva Naomi Bannerman | Counselor | 2299pearlst., Boulder, CO 80302 | 2020-07-22 |
| 1205480845 | Mark L Sipowicz | Counselor | 100 Arapahoe Avenue, Boulder, CO 80302 | 2019-08-01 |
| 1366909806 | Brett Adamek | Counselor | 2027 Broadway, Suite E, Boulder, CO 80302 | 2019-02-20 |
| 1124592225 | Stepheny Antrobus | Counselor | 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 | 2019-01-11 |
| 1942721337 | Sasha Marvel Hope | Nutritionist | 2260 Baseline Road #102, Boulder, CO 80302 | 2017-07-06 |
| 1073045365 | Mark Shusterman | Internal Medicine | 2133 5th Street, Boulder, CO 80302 | 2017-03-28 |
| 1316489396 | Agnieszka Spuzak | Nutritionist | 1267 Fourmile Canyon Dr, Boulder, CO 80302 | 2016-11-08 |
| 1265980031 | Tanya Robertson | Physical Therapy Assistant | 1633 Grove Street, Boulder, CO 80302 | 2016-09-21 |
| 1699142380 | Libbey Occupational Therapy Services LLC | Occupational Therapist | 100 West Arapahoe Ln, Suite 12, Boulder, CO 80302 | 2015-08-28 |
| 1831597244 | Annemarie Curran Prairie | Counselor | 2505 Walnut St., Ste 303, Boulder, CO 80302 | 2014-12-17 |
| Find all providers in zip 80302 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205466 | Sara Horn | Counselor | 4650 White Rock Cir Apt 12, Boulder, CO 80301-5373 | 2020-08-16 |
| 1669095618 | Allison Margaret Leddy Villarreal | Counselor | 737 29th St Ste 200f, Boulder, CO 80303-2474 | 2020-05-26 |
| 1265053961 | Positive Regard Psychotherapy Pllc | Counselor | 3102 Gamow Ln, Boulder, CO 80301-5465 | 2020-05-04 |
| 1154953776 | Willow Mae Arlenea | Counselor | 4500 19th St Lot 379, Boulder, CO 80304-0663 | 2020-02-11 |
| 1336779925 | Lisa Wallace | Counselor | 2769 Iris Ave Ste 107, Boulder, CO 80304-4405 | 2020-01-22 |
| 1952952764 | Lauren Bleu Northrup | Counselor | 170 Seminole Dr, Boulder, CO 80303-4227 | 2019-09-23 |
| 1750947289 | Shelly Froehlich | Counselor | 1637 28th St Ste 201, Boulder, CO 80301-1001 | 2019-05-09 |
| 1003470139 | Kim Ann Merrill | Counselor | 6658 Gunpark Dr Ste 201, Boulder, CO 80301-3375 | 2019-04-24 |
| 1477019222 | Elizabeth Ann Maher | Counselor | 4949 Broadway St Ste 201, Boulder, CO 80304-0578 | 2019-02-18 |
| 1124592225 | Stepheny Antrobus | Counselor | 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 | 2019-01-11 |
| Find all providers in BOULDER | ||||
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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.