David C Wade Psy D PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1081 Issued in OR

Legal business name

DAVID C WADE PSY D PC

Practice address

1100 E Marina Way
Suite 221
Hood River, OR 97031-2305

Phone

(541) 436-2998

NPI assigned

Dec 31, 2006

Organization subpart

No

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

Authorized official

Name

David C Wade, PSY D

Title

Dr

Phone

(541) 436-2998

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1167523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1124184221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2289",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986722289",
            "telephone_number": "509-493-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E MARINA WAY",
            "address_2": "SUITE 221",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970312305",
            "telephone_number": "541-436-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C WADE PSY D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-31",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "541-436-2998",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "400707",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "885235000",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH  NETWORK",
            "identifier": "115025",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC SOURCE",
            "identifier": "YC73001",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deana Dahl, FNP
• Eric Dahlen, PHARMD
• Daniel E Ferber MD PC
• Marivel Dannen
• Craig Danner, P.A.-C
• David L Maccabee MD PC
• Mary Jane Davidson, RDH
• Laura De la Torre
• Julia Christin Dearmond, LMT
• Carrie Decker, N.D.

• Clinical Psychologist in Hood River, OR
• Providers in Hood River, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.