LAUREL WADE PHD
NPI 1609472836
Psychologist in Arlington, VA

Active since December 11, 2020Opted out of Medicare · through Aug 8, 2027
4401 FAIRFAX DR STE 205, ARLINGTON, VA 22203(571) 328-7408 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2023, Dec 11, 2020 (2 updates tracked since 2020).

About Laurel Wade Phd NPPES

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

LAUREL WADE PHD (NPI 1609472836) is an individual psychologist in Arlington, Virginia and active in the NPI registry since December 2020. She has opted out of Medicare through August 8, 2027.

NPPES Registry Identity

NPI1609472836
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameLAUREL WADECredential: PHD
Location Address4401 FAIRFAX DR STE 205Arlington, VA 22203-1622
Mailing Address4401 Fairfax Dr Ste 205Arlington, VA 22203-1622
Sole ProprietorYes
Enumeration DateDecember 11, 2020
Last NPPES UpdateAugust 7, 20232 updates tracked since enumeration
NPPES CertifiedAugust 7, 2023
NPI 1609472836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X
4401 FAIRFAX DR STE 205, Arlington, VA 22203

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Laurel Wade Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 8, 2023 through August 8, 2027.

Opt-Out Effective DateAugust 8, 2023
Opt-Out In Effect ThroughAugust 8, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 18

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

Psychologist (Clinical)
4401 FAIRFAX DR STE 205
ARLINGTON, VA 22203
Psychologist
4401 FAIRFAX DR STE 205
ARLINGTON, VA 22203
Dietitian, Registered
4401 FAIRFAX DR STE 205
ARLINGTON, VA 22203
Psychologist (Clinical)
4401 FAIRFAX DR STE 205
ARLINGTON, VA 22203
Psychologist (Clinical)
4401 FAIRFAX DR STE 205
ARLINGTON, VA 22203
Psychologist
4401 FAIRFAX DR STE 205
ARLINGTON, VA 22203
Psychologist
4401 FAIRFAX DR STE 205
ARLINGTON, VA 22203
Psychologist (Clinical)
4401 FAIRFAX DR STE 205
ARLINGTON, VA 22203

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 Laurel Wade's NPI number?

The NPI number for Laurel Wade is 1609472836. It was assigned to this individual provider in the NPPES registry on December 11, 2020.

Where is Laurel Wade located?

Laurel Wade practices at 4401 Fairfax Dr Ste 205, Arlington, VA 22203. The listed phone number is (571) 328-7408.

What is Laurel Wade's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Laurel Wade enrolled in Medicare?

No. Laurel Wade has opted out of Medicare through August 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Laurel Wade was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.