Active NPI
Natasha C Wade, MSW, NLC
- Psychoanalyst
- Thornton, CO
National Provider Identifier
1093489593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 0108397
- Practice address
- 2130 E 97TH PL
Thornton, CO 80229-2461 - Phone
- (720) 252-0333
- NPI assigned
- Aug 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 0108397 | CO | Primary |
Addresses
Primary practice location
2130 E 97TH PL
Thornton, CO 80229-2461
Mailing address
2130 E 97TH PL
Thornton, CO 80229-2461
Phone (720) 252-0333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0108397 | Other | CO | NLC NUMBER |
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 |
|---|---|---|---|
| 0108397 | CO | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1093489593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 E 97TH PL",
"city": "THORNTON",
"state": "CO",
"postal_code": "802292461",
"telephone_number": "720-252-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 E 97TH PL",
"city": "THORNTON",
"state": "CO",
"postal_code": "802292461",
"telephone_number": "720-252-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "NATASHA",
"middle_name": "C",
"credential": "MSW, NLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-06",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "CO",
"license": "0108397",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NLC NUMBER",
"identifier": "0108397",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.