SHARIF SHADI PSYD
NPI 1396493441
Psychologist in Kent, WA

Active since March 16, 2022PECOS Enrolled
403 E MEEKER ST STE 200, KENT, WA 98030(253) 852-2866 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 4, 2025, Oct 8, 2024, May 6, 2022 (3 updates tracked since 2022).

About Sharif Shadi Psyd NPPES

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

SHARIF SHADI PSYD (NPI 1396493441) is an individual psychologist in Kent, Washington, licensed in Washington (PY61505118) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396493441
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameSHARIF SHADICredential: PSYD
Location Address403 E MEEKER ST STE 200Kent, WA 98030-5904
Mailing Address701 5th Ave NSeattle, WA 98109-5100 · (646) 290-1772
Sole ProprietorNo
Enumeration DateMarch 16, 2022
Last NPPES UpdateSeptember 4, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1396493441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses✔ Licensed in WA · PY61505118✔ Licensed in IL · 071022308
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselorTaxonomy 101Y00000X · License MC61286801 (WA)
403 E MEEKER ST STE 200, Kent, WA 98030

Secondary Practice Locations 2

Location 1219 State Ave N Ste 100Kent, WA 98030-4543 · Phone (253) 372-3602
Location 21501 S California AveChicago, IL 60608-1732 · Phone (773) 542-2000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sharif Shadi Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Sharif Shadi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Federally Qualified Health Center (FQHC)
403 E MEEKER ST, STE 200
Kent, WA 98030
  • Reassigned Medicare billing, Washington enrollment
  • 403 clinicians in this Medicare group
Family Medicine
1400 E. GOLF RD, SUITE 118
Des Plaines, IL 60016
  • Reassigned Medicare billing, Illinois enrollment
  • 646 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Family Medicine
403 E MEEKER ST STE 200
KENT, WA 98030
Advanced Practice Midwife
403 E MEEKER ST STE 200
KENT, WA 98030
Family Medicine
403 E MEEKER ST STE 200
KENT, WA 98030
Counselor
403 E MEEKER ST STE 200
KENT, WA 98030
Pediatrics
403 E MEEKER ST STE 200
KENT, WA 98030
Counselor
403 E MEEKER ST STE 200
KENT, WA 98030
Advanced Practice Midwife
403 E MEEKER ST STE 200
KENT, WA 98030
Counselor
403 E MEEKER ST STE 200
KENT, WA 98030

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 Sharif Shadi's NPI number?

The NPI number for Sharif Shadi is 1396493441. It was assigned to this individual provider in the NPPES registry on March 16, 2022.

Where is Sharif Shadi located?

Sharif Shadi practices at 403 E Meeker St Ste 200, Kent, WA 98030. The listed phone number is (253) 852-2866.

What is Sharif Shadi's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Sharif Shadi enrolled in Medicare?

Yes. Sharif Shadi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sharif Shadi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sharif Shadi reassigns Medicare benefits to 2 organizations: Healthpoint (Kent, WA) and Mount Sinai Community Foundation (Des Plaines, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sharif Shadi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sharif Shadi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Premera Blue Cross Blue Shield of Alaska list Sharif Shadi 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 Sharif Shadi was last updated on September 4, 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.