Wave Life, Inc

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

WAVE LIFE, INC

Practice address

158 Goya Rd
Portola Valley, CA 94028-7307

Phone

(917) 601-6840

NPI assigned

Sep 26, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Margaret Anne Melton

Title

Chief Executive Assistant

Phone

(580) 291-6961

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Adler, PSY.D.

  • Clinical Psychologist
  • Stanford, CA
  • NPI 1194011619
  NPD

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1093594202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 EL CAMINO REAL STE 120",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 GOYA RD",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940287307",
            "telephone_number": "917-601-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVE LIFE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "580-291-6961",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ning Tang, M.D.
• Vayu Health Medical Group
• James William Vetter, M.D.
• Vista OT
• Oscar Wand, M.D.
• Elena R Williamson, DPT, PT
• Rachel A Winer, M.D.
• Jeremy Jason Woodbury, PT, DPT
• Amanda Yonkers, CO
• Stuart Young, M.D.

• Health & Wellness Coach in Portola Valley, CA
• Providers in Portola Valley, CA by specialty
• Health & Wellness Coach in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.