DR. PATRICIA MARIE SHORT PSYD
NPI 1134247604
Psychologist - Clinical in Olympia, WA

Active since March 26, 2007Opted out of Medicare · through Apr 1, 2028
1026 STATE AVE NE, OLYMPIA, WA 98506(360) 709-3400(360) 956-1234 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Patricia Marie Short Psyd NPPES

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

DR. PATRICIA MARIE SHORT PSYD (NPI 1134247604) is an individual clinical provider in Olympia, Washington, licensed in Washington (2537) and active in the NPI registry since March 2007. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1134247604
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. PATRICIA MARIE SHORTCredential: PSYD
Location Address1026 STATE AVE NEOlympia, WA 98506-4065
Mailing Address1026 State Ave NeOlympia, WA 98506-4065 · (360) 709-3400 · Fax (360) 956-1234
Fax(360) 956-1234
Sole ProprietorYes
Enumeration DateMarch 26, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1134247604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in WA · 2537
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1026 STATE AVE NE, Olympia, WA 98506

Other Identifiers 1

Medicare ID-Type UnspecifiedAB32736WA

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. Patricia Marie Short Psyd 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 April 1, 2022 through April 1, 2028.

Opt-Out Effective DateApril 1, 2022
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Psychologist (Psychoanalysis)
1026 STATE AVE NE
OLYMPIA, WA 98506
Midwife
1026 STATE AVE NE
OLYMPIA, WA 98506
Midwife
1026 STATE AVE NE
OLYMPIA, WA 98506
Psychologist (Clinical)
1026 STATE AVE NE
OLYMPIA, WA 98506

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 Patricia Short's NPI number?

The NPI number for Patricia Short is 1134247604. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Patricia Short located?

Patricia Short practices at 1026 State Ave NE, Olympia, WA 98506. The listed phone number is (360) 709-3400.

What is Patricia Short's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Patricia Short enrolled in Medicare?

No. Patricia Short has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Patricia Short accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Patricia Short 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 Patricia Short was last updated on July 8, 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.