Van Schroder Waddy, M.ED.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

355 Issued in GA

Practice address

351 Delmont Dr NE
Atlanta, GA 30305-3220

Phone

(404) 233-4401

NPI assigned

Apr 10, 2007

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 names 1

• Ms. Van Schroder Waddy Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275656472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 DELMONT DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303053220",
            "telephone_number": "404-233-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 DELMONT DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303053220",
            "telephone_number": "404-233-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDY",
        "first_name": "VAN",
        "middle_name": "SCHRODER",
        "name_prefix": "Ms.",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VAN",
            "last_name": "WADDY",
            "middle_name": "SCHRODER",
            "prefix": "MS.",
            "credential": "M.ED.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kevin Jospeh Wack, JD, MA, MTS
• Hammond Spencer Waddell, R.D.H.
• Karen Waddell, MS, RN, CNS-PMH
• Payton Rebecca Waddell, PA
• Deborah Marie Waddington, O.D.
• Christopher Wade
• Kiara Wade
• Linda M Wade
• Thomas Wade, M.D.
• Wendi Wade

• Marriage & Family Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.