Michelle Wade

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MICHELLE WADE

Practice address

17 Grand St Apt 2
Newburgh, NY 12550-7629

Phone

(845) 419-1563

NPI assigned

Mar 23, 2023

Organization subpart

No

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

Authorized official

Name

Michelle Wade, LCSW

Title

Psychotherapist

Phone

(845) 419-1563

Specialties & licenses 1

Addresses

Other names 1

• Michelle Wade Doing business as

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1396448940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 GRAND ST",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125507628",
            "telephone_number": "914-382-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 GRAND ST APT 2",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125507629",
            "telephone_number": "845-419-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE WADE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "845-419-1563",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michelle Wade",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Merkovsky, LMSW
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• Michael Tedford MD LLC
• MK Michalak, PA
• Deirdre Mae Micker, N.P.
• Mid Hudson Interventional Pain Management
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• Adult Mental Health Clinic/Center in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Adult Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.