Active NPI
Austin P. Wade, PSY.D.
- Clinical Psychologist
- Lubbock, TX
National Provider Identifier
1023563889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- T-LMLP 2720
- Practice address
- 1003 Flint Ave
Lubbock, TX 79409 - Phone
- (806) 742-3674
- NPI assigned
- Aug 23, 2016
- Last updated
- May 31, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | T-LMLP 2720 | KS | Primary |
Addresses
Primary practice location
1003 Flint Ave
Lubbock, TX 79409
Mailing address
Texas Tech University Student Counseling Center
Box 45008
Lubbock, TX 79409-5008
Phone (806) 742-3674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-LMLP 2720 | KS | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527724800000",
"number": "1023563889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TEXAS TECH UNIVERSITY STUDENT COUNSELING CENTER",
"address_2": "BOX 45008",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794095008",
"telephone_number": "806-742-3674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 FLINT AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79409",
"telephone_number": "806-742-3674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "AUSTIN",
"middle_name": "P.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-23",
"last_updated": "2018-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "T-LMLP 2720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.