Pamela K Waaland, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

0810001300 Issued in VA

Practice address

513 Forest Ave
S 203
Richmond, VA 23229-6850

Phone

(804) 673-3567

Fax

(804) 673-3667

NPI assigned

Apr 19, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1083679492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9518 DOWNING ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232384444",
            "telephone_number": "804-673-3567",
            "fax_number": "804-673-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 FOREST AVE",
            "address_2": "S 203",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232296850",
            "telephone_number": "804-673-3567",
            "fax_number": "804-673-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAALAND",
        "first_name": "PAMELA",
        "middle_name": "K",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": "0810001300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7746351",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vignesh Vudatha, MD
• Triet Dinh Vuong, DDS
• W.a.R. Foundation, LLC
• W.H.E.E.L
• W&D Transportation Service
• Elysa Joelle Wade
• Frank Anderson Wade III, D.D.S.
• James B Wade, PH.D.
• James Harrison Wade, MD
• Jessica Yolanda Wade, LPC

• Clinical Neuropsychologist in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Neuropsychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.