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MADISON BERTOLIN
NPI 1003429721
Clinical Neuropsychologist in Seattle, WA

Active since August 24, 2020Opted out of Medicare · through May 6, 2027
415 1ST AVE N STE 200, SEATTLE, WA 98109(206) 859-5030 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Madison Bertolin NPPES

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

MADISON BERTOLIN (NPI 1003429721) is an individual clinical neuropsychologist in Seattle, Washington and active in the NPI registry since August 2020. She has opted out of Medicare through May 6, 2027.

NPPES Registry Identity

NPI1003429721
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameMADISON BERTOLIN
Location Address415 1ST AVE N STE 200Seattle, WA 98109-4765
Mailing Address415 1st Ave N Ste 200Seattle, WA 98109-4765
Phone(206) 859-5030
Sole ProprietorNo
Enumeration DateAugust 24, 2020
NPPES CertifiedAugust 24, 2020
✔ NPI 1003429721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
415 1ST AVE N STE 200, Seattle, WA 98109
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Madison Bertolin 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 May 6, 2021 through May 6, 2027.

Opt-Out Effective DateMay 6, 2021
Opt-Out In Effect ThroughMay 6, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

MATTHEW MCFARLAND SLP
Speech-Language Pathologist
415 1ST AVE N STE 200
SEATTLE, WA 98109
King County (206) 859-5030
TONDRA L. SHELDON
Occupational Therapy Assistant
415 1ST AVE N STE 200
SEATTLE, WA 98109
King County (206) 859-5030
THEODORE J. ALBRECHT PSYD
Clinical Neuropsychologist
415 1ST AVE N STE 200
SEATTLE, WA 98109
King County (206) 859-5030
EVAN ZAHNISER PHD
Clinical Neuropsychologist
415 1ST AVE N STE 200
SEATTLE, WA 98109
King County (206) 245-1618
OLIVIA KAO CCC-SLP
Speech-Language Pathologist
415 1ST AVE N STE 200
SEATTLE, WA 98109
King County (206) 859-5030
SHELLY L. APPLETON O.T.
Occupational Therapist
415 1ST AVE N STE 200
SEATTLE, WA 98109
King County (206) 859-5030
SCOTT M. BOWEN
Occupational Therapy Assistant
415 1ST AVE N STE 200
SEATTLE, WA 98109
King County (206) 859-5030

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 Madison Bertolin's NPI number?

The NPI number for Madison Bertolin is 1003429721. It was assigned to this individual provider in the NPPES registry on August 24, 2020.

Where is Madison Bertolin located?

Madison Bertolin practices at 415 1st Ave N Ste 200, Seattle, WA 98109. The listed phone number is (206) 859-5030.

What is Madison Bertolin's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Madison Bertolin enrolled in Medicare?

No. Madison Bertolin has opted out of Medicare through May 6, 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 Madison Bertolin was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.