DR. SUE ANNE SLADE PH.D.
NPI 1124196951
Psychologist - Clinical in Mill Creek, WA
About Dr. Sue Anne Slade Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUE ANNE SLADE PH.D. (NPI 1124196951) is an individual clinical provider in Mill Creek, Washington, licensed in Washington (PY00001198) and active in the NPI registry since December 2006. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Sue Anne Slade Ph.d. 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 October 1, 2015 through October 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MILL CREEK, WA 98012
MILL CREEK, WA 98012
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 Sue Slade's NPI number?
The NPI number for Sue Slade is 1124196951. It was assigned to this individual provider in the NPPES registry on December 1, 2006.
Where is Sue Slade located?
Sue Slade practices at 15418 Main Street Suite 301, Mill Creek, WA 98012. The listed phone number is (425) 385-3262.
What is Sue Slade's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Sue Slade enrolled in Medicare?
No. Sue Slade has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Sue Slade accept?
Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Sue Slade as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sue Slade was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Sue Anne Slade, PH.D. · NPI 1124196951
Clinical provider in Mill Creek, Washington. Individual provider, active in the CMS NPPES registry since December 1, 2006.
## Identity
- **NPI:** 1124196951 (Entity type: Individual)
- **Enumerated:** December 1, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PY00001198 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 15418 MAIN STREET, SUITE 301, Mill Creek, WA 98012-7361
- **Phone:** (425) 385-3262 · **Fax:** (425) 357-0924
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 9, 2007
- **Other identifiers:** Medicaid 7053416 (WA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1124196951) · Data from the CMS NPPES public registry.