Jade Qi Wu, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

103315 Issued in NC

Practice address

3805 University Dr
Durham, NC 27707-6206

Phone

(612) 819-2778

NPI assigned

Sep 5, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Jade Wu Behavioral Sleep Medicine PLLC

  • Sleep Specialist (PhD)
  • Durham, NC
  • NPI 1790469450

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1730738410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RATCALE LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 UNIVERSITY DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076206",
            "telephone_number": "612-819-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "JADE",
        "middle_name": "QI",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "103315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL PSYCHOLOGY LICENSE",
            "identifier": "103315",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baylee Wrobel, MS
• Genevieve Catherine Wroblewski, AG-ACNP
• James Anthony Wrzosek, MD
• Caroline Maggie Wu, MD
• Geng Wu
• Jun Wu
• Kevin Wu
• Lawrence Wu
• Lindsey Caroline Wu, M.D.
• Rebekah Ryanne Wu, MD

• Clinical Psychologist in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.