Marion Marsha Wadley, ED.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY12469 Issued in CA

Practice address

1443 Lupton Ave
San Jose, CA 95125-3847

Phone

(408) 298-9557

Fax

(408) 292-2294

NPI assigned

Dec 4, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1306181284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1443 LUPTON AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253847",
            "telephone_number": "408-298-9557",
            "fax_number": "408-292-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 LUPTON AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253847",
            "telephone_number": "408-298-9557",
            "fax_number": "408-292-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADLEY",
        "first_name": "MARION",
        "middle_name": "MARSHA",
        "credential": "ED.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY12469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry Lee Waddell, MD
• Scott Waddell, D.C.
• Tamara Joyce Wade
• Terence Lewue Wade, D.C.
• Sonia Pratik Wadher
• Kendra Wagers, L.AC. DTCM
• Ann Louise Wagner, LCSW
• Brian Wagner, L.M.F.T.
• Caroline Silva Wagner
• David A Wagner

• Clinical Psychologist in San Jose, CA
• Providers in San Jose, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.