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LEANDRA JONICOLE STEWART PHD
NPI 1497038731
Psychologist - Clinical in Seattle, WA

Active since September 22, 2011Opted out of Medicare · through Jun 1, 2028
10011 21ST AVE SW, SEATTLE, WA 98146(206) 495-2888 Get Directions Write a Review

NPPES record last updated: March 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2023, Mar 1, 2021 (2 updates tracked since 2021).

About Leandra Jonicole Stewart Phd NPPES

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

LEANDRA JONICOLE STEWART PHD (NPI 1497038731) is an individual clinical provider in Seattle, Washington, licensed in Washington (PY60649774) and active in the NPI registry since September 2011. She has opted out of Medicare through June 1, 2028 and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1497038731
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameLEANDRA JONICOLE STEWARTCredential: PHD
Location Address10011 21ST AVE SWSeattle, WA 98146-3704
Mailing Address126 Sw 148th St, Ste C100-box #565Burien, WA 98166-1984 · (206) 495-2888
Phone(206) 495-2888
Sole ProprietorYes
Enumeration DateSeptember 22, 2011
Last NPPES UpdateMarch 18, 20232 updates tracked since enumeration
NPPES CertifiedMarch 18, 2023
✔ NPI 1497038731 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 · PY60649774
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.
10011 21ST AVE SW, Seattle, WA 98146
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Other Names 1

Former Name (1)Leandra Jonicole Shipley Phd

Secondary Practice Location 1

Location 11600 E Olive St, Sound Mental HealthSeattle, WA 98122-2735 · Phone (206) 302-2200 · Fax (206) 302-2210

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Leandra Jonicole Stewart 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 June 1, 2026 through June 1, 2028.

Opt-Out Effective DateJune 1, 2026
Opt-Out In Effect ThroughJune 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Leandra Stewart's NPI number?

The NPI number for Leandra Stewart is 1497038731. It was assigned to this individual provider in the NPPES registry on September 22, 2011. The provider is also known as Leandra Jonicole Shipley Phd.

Where is Leandra Stewart located?

Leandra Stewart practices at 10011 21st Ave SW, Seattle, WA 98146. The listed phone number is (206) 495-2888.

What is Leandra Stewart's specialty?

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

Is Leandra Stewart enrolled in Medicare?

No. Leandra Stewart has opted out of Medicare through June 1, 2028. 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 Leandra Stewart was last updated on March 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.