Michelle Wade

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MICHELLE WADE

Doing business as

Michelle Wade

Practice address

17 Grand St Apt 2
Newburgh, NY 12550-7629

Phone

(845) 419-1563

NPI assigned

Mar 23, 2023

Last updated

Aug 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Wade, LCSWNPI 1518633932

Title

Psychotherapist

Phone

(845) 419-1563

Specialties & licenses 1

Addresses

Other names 1

• Michelle Wade Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Dominique Wade, LCSW

  • Clinical Social Worker
  • New Paltz, NY
  • NPI 1518633932
  Authorized official Same address or phone

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
• Ryan Daniel Meshulam, M.D.
• Maria Messerschmitt
• Michael Tedford MD LLC
• MK Michalak, PA
• Deirdre Mae Micker, N.P.
• Mid Hudson Interventional Pain Management
• Mid Hudson Physical Medicine & Rehabilitation PC (Mid Hudson Pain Managerment & P.T. PC)
• Mid Hudson Surgical Associates, PC
• Mid Valley Oncology Hematology, P.C.

• 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.