Individual provider Active NPI

Hugh Love Wade III, ED. S.

  • School Psychologist
  • Louisa, VA
National Provider Identifier
1265088538
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
331-945 Issued in VA
Practice address
2055 Courthouse Road
Mnes/ School Psyc. Office
Louisa, VA 23093
Phone
(540) 967-1347
NPI assigned
Aug 13, 2019
Last updated
Aug 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 331-945 VA Primary

Addresses

Primary practice location

2055 Courthouse Road
Mnes/ School Psyc. Office
Louisa, VA 23093

Mailing address

93 Cedar Creek LN
Fort Defiance, VA 24437-2063
Phone (540) 746-2190

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

LicenseStateTypeSpecialty
331-945VAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1265088538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 CEDAR CREEK LN",
            "city": "FORT DEFIANCE",
            "state": "VA",
            "postal_code": "244372063",
            "telephone_number": "540-746-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 COURTHOUSE ROAD",
            "address_2": "MNES/ SCHOOL PSYC. OFFICE",
            "city": "LOUISA",
            "state": "VA",
            "postal_code": "23093",
            "telephone_number": "540-967-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "HUGH",
        "middle_name": "LOVE",
        "name_suffix": "III",
        "credential": "ED. S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "VA",
            "license": "331-945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisa, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.