Individual provider Active NPI

Ryan Wade, M.D.

  • Psychiatry Physician
  • New Canaan, CT
National Provider Identifier
1588027403
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
66461 Issued in CT
Practice address
208 Valley Rd
New Canaan, CT 06840-3812
Phone
(203) 801-2323
NPI assigned
Mar 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X V5850 TX
Psychiatry Physician 2084P0800X 66461 CT Primary
Psychiatry Physician 2084P0800X 94706 GA
Psychiatry Physician 2084P0800X V5850 TX
Addiction Psychiatry Physician 2084P0802X 66461 CT
Addiction Psychiatry Physician 2084P0802X 94706 GA

Addresses

Primary practice location

208 Valley Rd
New Canaan, CT 06840-3812

Mailing address

128 Woodland Park
Shelton, CT 06484-5352
Phone (203) 394-3467

Other practice location 1

825 Fairfax Ave
Norfolk, VA 23507-1914
Phone (203) 394-3467

Other practice location 2

300 George St
New Haven, CT 06511-6624
Phone (203) 785-2117

Other practice location 3

400 17th St NW Unit 1234
Atlanta, GA 30363-1049
Phone (203) 747-8293

Other practice location 4

4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852
Phone (203) 747-8293

Other identifiers 5

IdentifierTypeStateIssuer
008056033MedicaidCT
008096694MedicaidCT
008022622MedicaidCT
004082260MedicaidCT
008001325MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, DC, VA, MA, MI, GA, PA, OH, CA, NJ, MO11 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 11

Enrollment IDStateProvider typePAC IDDetails
I20200909002958 CT Practitioner - Psychiatry 5496173338 Reassigns benefits to 4 organizations
I20200929002664 DC Practitioner - Psychiatry 5496173338 Reassigns benefits to 1 organization
I20201103000600 VA Practitioner - Psychiatry 5496173338 Reassigns benefits to 1 organization
I20201125000917 MA Practitioner - Psychiatry 5496173338 Reassigns benefits to 2 organizations
I20221020002828 MI Practitioner - Psychiatry 5496173338 Reassigns benefits to 1 organization
I20230303000206 GA Practitioner - Psychiatry 5496173338 Reassigns benefits to 1 organization
I20230504000529 PA Practitioner - Psychiatry 5496173338 Reassigns benefits to 1 organization
I20230524001076 OH Practitioner - Psychiatry 5496173338 Reassigns benefits to 1 organization
I20230706001833 CA Practitioner - Psychiatry 5496173338 Reassigns benefits to 2 organizations
I20230821003862 NJ Practitioner - Psychiatry 5496173338 Reassigns benefits to 1 organization
I20241029003792 MO Practitioner - Psychiatry 5496173338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Eastern Virginia Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

1015 Chestnut St
Suite 1520
Philadelphia, PA 19107-4315
Phone (855) 284-7483

1030 Kings Hwy N
Suite 202
Cherry Hill, NJ 08034-1907
Phone (855) 284-7483

1311 Dolley Madison Blvd
MC Lean, VA 22101-3937
Phone (571) 589-4042

1890 Northwest Blvd
Suite 140
Columbus, OH 43212-1637
Phone (855) 284-7483

2501 Hunter PL
Suite 202
Woodbridge, VA 22192-3940
Phone (855) 284-7483

5310 Markel Rd
Suite 102
Richmond, VA 23230-3030
Phone (855) 284-7483

710 Kenmoor Ave SE
Suite 100
Grand Rapids, MI 49546-2379
Phone (855) 284-7483

80 Mill River St
Suite 2200
Stamford, CT 06902-3756
Phone (203) 828-1114

846 Farmington Ave
Suite 4
West Hartford, CT 06119-1554
Phone (203) 828-1114

872 Mass Ave
Suite 2 2
Cambridge, MA 02139-3072
Phone (855) 284-7483

8800 Roswell Rd
Suite A135
Atlanta, GA 30350-1826
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
66461CTMDPsychiatry Physician
94706GAMDPsychiatry Physician
V5850TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Oct 8, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 8, 2020 Accepting new patients
Sevi Cares CT PLLC Psychiatry CurrentSince Jul 23, 2024 Accepting new patients
Thriveworks Clinical - California PC CurrentSince Jun 23, 2023 Accepting new patients
Silver Hill Hospital, Inc CurrentSince Jul 1, 2021 Accepting new patients
Internal Medicine of West Haven LLC CurrentSince Jul 9, 2024 Accepting new patients
Sevi Life LLC CurrentSince Oct 10, 2024 Accepting new patients
Lifebulb LLC PastSince Oct 16, 2022 Accepting new patients

Locations

171 Saxony Rd
Ste 106
Encinitas, CA 92024
Phone (760) 640-0270

18652 Florida St
Ste 245
Huntington Beach, CA 92648
Phone (714) 698-3460

4902 Irvine Center Dr
Ste 203
Irvine, CA 92604
Phone (434) 300-3037

731 N Beach Blvd
Ste 140
La Habra, CA 90631
Phone (562) 303-5925

116 S Catalina Ave
Ste 109
Redondo Beach, CA 90277
Phone (617) 454-4916

2525 Camino del Rio S
Ste 301
San Diego, CA 92108
Phone (209) 689-2669

815 Hyde St
Ste 301
San Francisco, CA 94109
Phone (415) 292-5477

2804 Camino Dos Rios
Ste 206
Thousand Oaks, CA 91320
Phone (209) 689-2669

40 Dale Rd
Ste 202
Avon, CT 06001
Phone (203) 931-0034

208 Valley Rd
New Canaan, CT 06840
Phone (203) 966-3561

470 James St
New Haven, CT 06513
Phone (203) 401-8919

764 Campbell Ave
Ste E
West Haven, CT 06516
Phone (203) 931-0034

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

2100 Dorchester Ave
#2214
Dorchester Center, MA 02124
Phone (617) 506-2840

9 Galen St
Watertown, MA 02472
Phone (617) 562-5413

100 Viva Bene Cir
Saint Peters, MO 63376

300 Saint Peters Centre Blvd
Ste 250
Saint Peters, MO 63376
Phone (636) 245-5126

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADDDAD

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1588027403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 WOODLAND PARK",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064845352",
            "telephone_number": "203-394-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 VALLEY RD",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068403812",
            "telephone_number": "203-801-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Fairfax Ave",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071914",
            "country_code": "US",
            "telephone_number": "203-394-3467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 George St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065116624",
            "country_code": "US",
            "telephone_number": "203-785-2117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 17th St NW Unit 1234",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303631049",
            "country_code": "US",
            "telephone_number": "203-747-8293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4215 Joe Ramsey Blvd E",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "TX",
            "postal_code": "754017852",
            "country_code": "US",
            "telephone_number": "203-747-8293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "RYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "TX",
            "license": "V5850",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "66461",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "94706",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "V5850",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CT",
            "license": "66461",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "GA",
            "license": "94706",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008056033",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008096694",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008022622",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004082260",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008001325",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Canaan, CT

Sources for this page

Verify at the official NPI Registry.