Jeffrey Allen Shaw, PSY D - Psychologist in Kirkland, WA

Jeffrey Allen Shaw, PSY D is a Psychologist - Clinical based in Kirkland, Washington. Jeffrey Allen Shaw is licensed to practice in Washington (license number PY00002441) and his current practice location is 12303 Ne 130th Ln, Sutie 325, Kirkland, Washington. He can be reached at his office (for appointments etc.) via phone at (425) 899-3140.

NPI number for Jeffrey Allen Shaw is 1316099435 and his current mailing address is Po Box 34036, Seattle, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316099435.

Contact Information

Jeffrey Allen Shaw, PSY D
12303 Ne 130th Ln, Sutie 325,
Kirkland, WA 98034-3099
(425) 899-3140
(425) 899-3131

Map and Direction




Healthcare Provider's Profile

Full NameJeffrey Allen Shaw
GenderMale
SpecialityPsychologist - Clinical
Location12303 Ne 130th Ln, Kirkland, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1316099435
  • Provider Enumeration Date: 01/17/2007
  • Last Update Date: 10/14/2010

Medical Identifiers

Medical identifiers for Jeffrey Allen Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316099435NPI-NPPES
8372013MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY00002441 (Washington)Primary
103TB0200XPsychologist - Cognitive & Behavioral PY00002441 (Washington)Secondary
103TA0700XPsychologist - Adult Development & Aging PY00002441 (Washington)Secondary
103G00000XClinical Neuropsychologist PY00002441 (Washington)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeffrey Allen Shaw is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jeffrey Allen Shaw, PSY D
Po Box 34036,
Seattle, WA 98124-1036

Ph: (425) 899-3292
Jeffrey Allen Shaw, PSY D
12303 Ne 130th Ln, Sutie 325,
Kirkland, WA 98034-3099

Ph: (425) 899-3140

Reviews and Comments


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