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W WADE PHD LP LLC
NPI 1477859940
Clinic/Center - Adult Mental Health in St Louis Park, MN

Active since February 01, 2011
4500 PARK GLEN RD, SUITE 270, ST LOUIS PARK, MN 55416(952) 929-9478(952) 929-9548 Get Directions Write a Review

NPPES record last updated: February 1, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About W Wade Phd Lp Llc NPPES

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

W WADE PHD LP LLC (NPI 1477859940) is a healthcare organization registered as an adult mental health in St Louis Park, Minnesota and active in the NPI registry since February 2011. The organization lists Wendy Ann Wade, Owner, as its authorized official.

NPPES Registry Identity

NPI1477859940
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameW WADE PHD LP LLC
Location Address4500 PARK GLEN RD, SUITE 270St Louis Park, MN 55416-4871
Mailing Address4500 Park Glen Rd, Suite 270St Louis Park, MN 55416-4871 · (952) 929-9478 · Fax (952) 929-9548
Phone(952) 929-9478
Fax(952) 929-9548
Organization SubpartNo
Authorized OfficialWendy Ann WadeOwner · (612) 385-6392
Enumeration DateFebruary 1, 2011
✔ NPI 1477859940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in MN · LP5259
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

4500 PARK GLEN RD, St Louis Park, MN 55416
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Other Providers at the Same Location NPPES 19

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

THOMAS JACOBS MA, LMFT
Marriage & Family Therapist
4500 PARK GLEN RD, #150
ST LOUIS PARK, MN 55416
Hennepin County (612) 872-9446
MS. NANCY JANE BARRON M.A., L.P.
Marriage & Family Therapist
4500 PARK GLEN RD, #150
ST LOUIS PARK, MN 55416
Hennepin County (612) 978-1400
DAWN DRAAYER-THIBODEAU, LLC
Social Worker (Clinical)
4500 PARK GLEN RD, SUITE 155
ST LOUIS PARK, MN 55416
Hennepin County (952) 334-1213
RENEE T VONWEISS PHD LP
Psychologist (Clinical)
4500 PARK GLEN RD, SUITE 450
ST LOUIS PARK, MN 55416
Hennepin County (952) 444-9744
DR. JENNIFER LYNN WIGTON PH.D.
Psychologist
4500 PARK GLEN RD, SUITE 151
SAINT LOUIS PARK, MN 55416
Hennepin County (612) 723-0460
DR. SIGNE DYSKEN M.D.
Psychiatry & Neurology (Psychiatry)
4500 PARK GLEN RD, SUITE 360
ST LOUIS PARK, MN 55416
Hennepin County (612) 822-2111
DR. VERNON T DEVINE PH.D.
Psychologist (Clinical)
4500 PARK GLEN RD, SUITE 360
ST LOUIS PARK, MN 55416
Hennepin County (952) 929-9478
BENJAMIN POWERS LPC
Counselor (Mental Health)
4500 PARK GLEN RD, SUITE 155
ST LOUIS PARK, MN 55416
Hennepin County (612) 223-7992

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 W Wade Phd LP LLC's NPI number?

The NPI number for W Wade Phd LP LLC is 1477859940. It was assigned to this organization in the NPPES registry on February 1, 2011.

Where is W Wade Phd LP LLC located?

W Wade Phd LP LLC is located at 4500 Park Glen Rd Suite 270, St Louis Park, MN 55416. The listed phone number is (952) 929-9478.

What is W Wade Phd LP LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for W Wade Phd LP LLC was last updated on February 1, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.