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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. TIMOTHY SHANE WADE
NPI 1083913321
Marriage & Family Therapist in Fresno, CA

Active since March 25, 2011
1804 W OLIVE AVE, FRESNO, CA 93728(559) 365-1717 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 15, 2024, Apr 5, 2022 (2 updates tracked since 2022).

About Mr. Timothy Shane Wade NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TIMOTHY SHANE WADE (NPI 1083913321) is an individual marriage & family therapist in Fresno, California, licensed in California (124814) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1083913321
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. TIMOTHY SHANE WADE
Location Address1804 W OLIVE AVEFresno, CA 93728-2619
Mailing Address3040 N Fresno StFresno, CA 93703-1128 · (209) 247-9207
Phone(559) 365-1717
Sole ProprietorNo
Enumeration DateMarch 25, 2011
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1083913321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 124814
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1804 W OLIVE AVE, Fresno, CA 93728
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEANNETTE MACK
Day Training/Habilitation Specialist
1804 W OLIVE AVE
FRESNO, CA 93728
Fresno County (559) 500-1888
CALVIN WILLIAM MCNIEL
Day Training/Habilitation Specialist
1804 W OLIVE AVE
FRESNO, CA 93728
Fresno County (559) 500-1888
JACKELYN JOSETT ZAVALA
Day Training/Habilitation Specialist
1804 W OLIVE AVE
FRESNO, CA 93728
Fresno County (559) 500-1888
MARIE GONZALEZ
Day Training/Habilitation Specialist
1804 W OLIVE AVE
FRESNO, CA 93728
Fresno County (559) 341-2030
ERIKA ZURITA
Day Training/Habilitation Specialist
1804 W OLIVE AVE
FRESNO, CA 93728
Fresno County (559) 492-1373
NAUHI LOPEZ
Day Training/Habilitation Specialist
1804 W OLIVE AVE
FRESNO, CA 93728
Fresno County (559) 680-0532
RH COMMUNITY BUILDERS LP
Clinic/Center (Mental Health (Including Community Mental Health Center))
1804 W OLIVE AVE
FRESNO, CA 93728
Fresno County (559) 492-1373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Wade's NPI number?

The NPI number for Timothy Wade is 1083913321. It was assigned to this individual provider in the NPPES registry on March 25, 2011.

Where is Timothy Wade located?

Timothy Wade practices at 1804 W Olive Ave, Fresno, CA 93728. The listed phone number is (559) 365-1717.

What is Timothy Wade's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Timothy Wade was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.