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DR. KELLY JENSEN WADE PSY.D.
NPI 1396025698
Psychologist - Clinical in Fredericksburg, VA

Active since August 18, 2011
4830 SOUTHPOINT DR, FREDERICKSBURG, VA 22407(540) 370-4468 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2024, Sep 13, 2019 (2 updates tracked since 2019).

About Dr. Kelly Jensen Wade Psy.d. NPPES

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

DR. KELLY JENSEN WADE PSY.D. (NPI 1396025698) is an individual clinical provider in Fredericksburg, Virginia, licensed in Virginia (0810006297) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1396025698
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KELLY JENSEN WADECredential: PSY.D.
Location Address4830 SOUTHPOINT DRFredericksburg, VA 22407-2606
Mailing Address130 Executive Center PkwyFredericksburg, VA 22401-3100 · (540) 699-4969
Phone(540) 370-4468
Sole ProprietorNo
Enumeration DateAugust 18, 2011
Last NPPES UpdateApril 8, 20242 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
✔ NPI 1396025698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810006297
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4830 SOUTHPOINT DR, Fredericksburg, VA 22407
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Other Identifiers 1

Other27-2331951CO · Tax Id#

Other Providers at the Same Location NPPES 5

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

SAMANTHA PETERSEN LCSW-C
Social Worker (Clinical)
4830 SOUTHPOINT DR
FREDERICKSBURG, VA 22407
Spotsylvania County (540) 370-4468
DR. SWAPNA GEORGE M.D.
Internal Medicine
4830 SOUTHPOINT DR
FREDERICKSBURG, VA 22407
Spotsylvania County (540) 370-4468
STACY HILL
Social Worker (Clinical)
4830 SOUTHPOINT DR
FREDERICKSBURG, VA 22407
Spotsylvania County (804) 738-0190
RICHMOND VAMC
Clinic/Center (VA)
4830 SOUTHPOINT DR
FREDERICKSBURG, VA 22407
Spotsylvania County (828) 257-2333
AVNEET MADAN MD
Psychiatry & Neurology (Psychiatry)
4830 SOUTHPOINT DR
FREDERICKSBURG, VA 22407
Spotsylvania County (540) 370-4468

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 Kelly Wade's NPI number?

The NPI number for Kelly Wade is 1396025698. It was assigned to this individual provider in the NPPES registry on August 18, 2011.

Where is Kelly Wade located?

Kelly Wade practices at 4830 Southpoint Dr, Fredericksburg, VA 22407. The listed phone number is (540) 370-4468.

What is Kelly Wade's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Kelly Wade was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.