VANESSA WALL
NPI 1356175111
Psychologist - Clinical in Seattle, WA

Q: What is Vanessa Wall's NPI number?

The NPI number for Vanessa Wall is 1356175111. It was assigned to this individual provider in the NPPES registry on August 26, 2024.

Q: What is Vanessa Wall's specialty?

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

Q: Is Vanessa Wall enrolled in Medicare?

No. Vanessa Wall has opted out of Medicare through December 19, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Vanessa Wall was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since August 26, 2024Opted out of Medicare · through Dec 19, 2026

4746 44TH AVE SW STE 202, SEATTLE, WA 98116(719) 332-7451 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Vanessa Wall NPPES

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

VANESSA WALL (NPI 1356175111) is an individual clinical provider in Seattle, Washington, licensed in Washington (61506775) and active in the NPI registry since August 2024. She has opted out of Medicare through December 19, 2026.

NPPES Registry Identity

NPI1356175111

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameVANESSA WALL

Location Address4746 44TH AVE SW STE 202Seattle, WA 98116-4476

Mailing Address4746 44th Ave Sw Ste 202Seattle, WA 98116-4476 · (719) 332-7451

Phone(719) 332-7451

Sole ProprietorYes

Enumeration DateAugust 26, 2024

NPPES CertifiedAugust 26, 2024

✔ NPI 1356175111 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 · 61506775

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.

4746 44TH AVE SW STE 202, Seattle, WA 98116

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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

Vanessa Wall 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 December 19, 2024 through December 19, 2026.

Opt-Out Effective DateDecember 19, 2024

Opt-Out In Effect ThroughDecember 19, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

PACIFIC BRAIN HEALTH & WELLNESS PLLC

Psychologist (Clinical)

4746 44TH AVE SW STE 202
SEATTLE, WA 98116

King County (206) 538-8382

ALEX J COOK PSYD

Psychologist (Clinical)

4746 44TH AVE SW STE 202
SEATTLE, WA 98116

King County (206) 880-1851

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 Vanessa Wall's NPI number?

The NPI number for Vanessa Wall is 1356175111. It was assigned to this individual provider in the NPPES registry on August 26, 2024.

Where is Vanessa Wall located?

Vanessa Wall practices at 4746 44th Ave SW Ste 202, Seattle, WA 98116. The listed phone number is (719) 332-7451.

What is Vanessa Wall's specialty?

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

Is Vanessa Wall enrolled in Medicare?

No. Vanessa Wall has opted out of Medicare through December 19, 2026. 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 Vanessa Wall was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.