ELIZABETH BIRD PHD
NPI 1366106353
Psychologist - Clinical in Seattle, WA

Active since October 26, 2021Opted out of Medicare · through Apr 28, 2027
1660 S COLUMBIAN WAY, SEATTLE, WA 98108(206) 762-1010 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Bird Phd NPPES

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

ELIZABETH BIRD PHD (NPI 1366106353) is an individual clinical provider in Seattle, Washington, licensed in Washington (61113357) and active in the NPI registry since October 2021. She has opted out of Medicare through April 28, 2027 and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1366106353
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameELIZABETH BIRDCredential: PHD
Location Address1660 S COLUMBIAN WAYSeattle, WA 98108-1532
Mailing Address4063 24th Pl SSeattle, WA 98108-1506
Sole ProprietorNo
Enumeration DateOctober 26, 2021
Last NPPES UpdateMay 19, 2025
NPPES CertifiedMay 19, 2025
NPI 1366106353 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 · 61113357
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 ListedPsychologistTaxonomy 103T00000X · License 61113357 (WA)
1660 S COLUMBIAN WAY, Seattle, WA 98108

Secondary Practice Location 1

Location 1515 28th Ave ESeattle, WA 98112-4146 · Phone (206) 569-5553

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Elizabeth Bird Phd 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 28, 2025 through April 28, 2027.

Opt-Out Effective DateApril 28, 2025
Opt-Out In Effect ThroughApril 28, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Radiology)
1660 S COLUMBIAN WAY, DIAGNOSTIC IMAGING, S-RAD-114
SEATTLE, WA 98108
Licensed Practical Nurse
1660 S COLUMBIAN WAY
SEATTLE, WA 98108
Psychologist
1660 S COLUMBIAN WAY
SEATTLE, WA 98108
Occupational Therapist (Human Factors)
1660 S COLUMBIAN WAY
SEATTLE, WA 98108
Social Worker (Clinical)
1660 S COLUMBIAN WAY
SEATTLE, WA 98108
Registered Nurse
1660 S COLUMBIAN WAY
SEATTLE, WA 98108
Radiology (Diagnostic Radiology)
1660 S COLUMBIAN WAY, DEPT. RADIOLOGY S-113, PSVAHCS
SEATTLE, WA 98108
Clinical Nurse Specialist
1660 S COLUMBIAN WAY, #128
SEATTLE, WA 98108

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 Elizabeth Bird's NPI number?

The NPI number for Elizabeth Bird is 1366106353. It was assigned to this individual provider in the NPPES registry on October 26, 2021.

Where is Elizabeth Bird located?

Elizabeth Bird practices at 1660 S Columbian Way, Seattle, WA 98108. The listed phone number is (206) 762-1010.

What is Elizabeth Bird's specialty?

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

Is Elizabeth Bird enrolled in Medicare?

No. Elizabeth Bird has opted out of Medicare through April 28, 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 Elizabeth Bird was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.