Organization Active NPI

Wade Kern Network, LLC

  • Psychologist
  • Silver Spring, MD
National Provider Identifier
1871217166
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
WADE KERN NETWORK, LLC
Practice address
8630 Georgia Ave
Silver Spring, MD 20910-3404
Phone
(703) 239-3660
Fax
(703) 995-0332
NPI assigned
Sep 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Julia W Downer
Title
Owner
Phone
(703) 239-3660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

8630 Georgia Ave
Silver Spring, MD 20910-3404

Mailing address

4241 Berry Rd
Gainesville, VA 20155-1120
Phone (703) 239-3660

Other practice location 1

4241 Berry Rd
Gainesville, VA 20155-1120
Phone (703) 239-3660

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jdowner@wadekern.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250805000661 DC Part B Supplier - Clinic/Group Practice 3870936966 Receives reassigned benefits from 1 practitioner
Practice locations: Gainesville, VA

National Provider Directory

National Provider Directory

Locations

8630 Georgia Ave
Silver Spring, MD 20910
Phone (703) 239-3660

Interoperability endpoints

  • Direct secure messaging: jdowner@wadekern.org

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1871217166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 BERRY RD",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201551120",
            "telephone_number": "703-239-3660",
            "fax_number": "703-995-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 GEORGIA AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103404",
            "telephone_number": "703-239-3660",
            "fax_number": "703-995-0332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4241 Berry Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "VA",
            "postal_code": "201551120",
            "country_code": "US",
            "telephone_number": "703-239-3660",
            "fax_number": "703-995-0332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WADE KERN NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "DOWNER",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-239-3660"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jdowner@wadekern.org",
            "affiliation": "N",
            "endpointDescription": "E-Mailing Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4241 Berry Rd",
            "city": "Gainesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201551120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.