Brittany Wade, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY10249 Issued in FL

Practice address

6740 Crosswinds Dr N Ste L
St Petersburg, FL 33710-8606

Phone

(727) 599-3624

NPI assigned

Sep 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thrive Child Psychology PLLC

  • Clinical Child & Adolescent Psychologist
  • Clearwater, FL
  • NPI 1467214890
  NPD Authorized official
• Thrive Child Psychology, LLC

  • Clinical Child & Adolescent Psychologist
  • Bloomington, IL
  • NPI 1639781255
  NPD Authorized official

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1396220117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5116 LONGFIELD RD",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617059503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 CROSSWINDS DR N STE L",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108606",
            "telephone_number": "727-599-3624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2103 E Washington St Ste 1D",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IL",
            "postal_code": "617014365",
            "country_code": "US",
            "telephone_number": "941-416-1743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "BRITTANY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY10249",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010308",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julije Vucemilovic, MD
• Vinkica Vucemilovic, MD
• Georgene Vukelich, CRNA
• Ashley Wade
• Brianne L. Wade, DMD
• Gwendolyn Wade, B.S.
• Lawrence Robert Wade
• Hemant Wadhwani, M.D.
• Victoria Waechter, APRN
• Casey Waggett

• Psychologist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.