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DIANE M SCOVILLE PHD, LICSW
NPI 1306042643
Psychologist - Clinical in Seattle, WA

Active since June 25, 2007Opted out of Medicare · through Feb 9, 2027
4026 NE 55TH ST STE C, SEATTLE, WA 98105(206) 227-1220 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diane M Scoville Phd, Licsw NPPES

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

DIANE M SCOVILLE PHD, LICSW (NPI 1306042643) is an individual clinical provider in Seattle, Washington, licensed in Washington (PY00003677) and active in the NPI registry since June 2007. She has opted out of Medicare through February 9, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1306042643
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDIANE M SCOVILLECredential: PHD, LICSW
Location Address4026 NE 55TH ST STE CSeattle, WA 98105-2254
Mailing Address4026 Ne 55th St Ste CSeattle, WA 98105-2254 · (206) 227-1220
Phone(206) 227-1220
Sole ProprietorNo
Enumeration DateJune 25, 2007
Last NPPES UpdateJanuary 27, 2021
NPPES CertifiedJanuary 27, 2021
✔ NPI 1306042643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WA · PY00003677
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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License LW00005608 (WA)
4026 NE 55TH ST STE C, Seattle, WA 98105
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Diane M Scoville Phd, Licsw 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 February 9, 2021 through February 9, 2027.

Opt-Out Effective DateFebruary 9, 2021
Opt-Out In Effect ThroughFebruary 9, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$189.37 typical visit price
range $63.67 – $189.37
Typical copayment $47.34 (range $15.91 – $47.34)
Most-billed visit code 99205
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DIANE JOY BROWNING MA, LMHC
Counselor (Mental Health)
4026 NE 55TH ST STE C
SEATTLE, WA 98105
King County (206) 985-1976

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 Diane Scoville's NPI number?

The NPI number for Diane Scoville is 1306042643. It was assigned to this individual provider in the NPPES registry on June 25, 2007.

Where is Diane Scoville located?

Diane Scoville practices at 4026 NE 55th St Ste C, Seattle, WA 98105. The listed phone number is (206) 227-1220.

What is Diane Scoville's specialty?

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

Is Diane Scoville enrolled in Medicare?

No. Diane Scoville has opted out of Medicare through February 9, 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.

When was this NPI record last updated?

The NPPES record for Diane Scoville was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.