Individual provider Active NPI

Wade A. Munroe, PSY.D

  • Clinical Psychologist
  • Fitchburg, MA
National Provider Identifier
1891011318
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
9175 Issued in MA
Practice address
326 Nichols Road
Fitchburg, MA 01420
Phone
(978) 878-8440
Fax
(978) 878-8535
NPI assigned
Apr 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 9175 MA Primary

Addresses

Primary practice location

326 Nichols Road
Fitchburg, MA 01420

Mailing address

326 Nichols Road
Fitchburg, MA 01420
Phone (978) 878-8440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150130000211 MA Practitioner - Clinical Psychologist 3870817497 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wade Munroe, PSYD, LLC Clinical CurrentSince Feb 28, 2024 Accepting new patients
Community Health Connections, Inc. CurrentSince Sep 13, 2013 Accepting new patients
Community Health Connections, Inc. CurrentSince Sep 13, 2013 Accepting new patients
Community Health Connections, Inc. Current Accepting new patients

Locations

326 Nichols Rd
Fitchburg, MA 01420
Phone (978) 343-5270

175 Connors St
Gardner, MA 01440
Phone (978) 410-6100

588 Main St
Shrewsbury, MA 01545
Phone (310) 880-8889

Interoperability endpoints

  • Direct secure messaging: wade.munroe.p1@direct.chcfhc.nextgenshare.com

Organizations & group practices 4

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": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1891011318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 NICHOLS ROAD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "01420",
            "telephone_number": "978-878-8440",
            "fax_number": "978-878-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 NICHOLS ROAD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "01420",
            "telephone_number": "978-878-8440",
            "fax_number": "978-878-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNROE",
        "first_name": "WADE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-08",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

Verify at the official NPI Registry.