PAX PSYCHOTHERAPY PLLC
NPI 1508440835
Psychologist - Clinical in Seattle, WA

Q: What is Pax Psychotherapy PLLC's NPI number?

The NPI number for Pax Psychotherapy PLLC is 1508440835. It was assigned to this organization in the NPPES registry on May 12, 2021.

Q: What is Pax Psychotherapy PLLC's specialty?

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

Active since May 12, 2021

1127 10TH AVE E STE 5, SEATTLE, WA 98102(206) 309-7915 Get Directions Write a Review

NPPES record last updated: November 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 9, 2022, May 12, 2021 (2 updates tracked since 2021).

On this page

About Pax Psychotherapy Pllc NPPES

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

PAX PSYCHOTHERAPY PLLC (NPI 1508440835) is a healthcare organization registered as a clinical in Seattle, Washington and active in the NPI registry since May 2021. The organization lists Ann Carter, Owner, as its authorized official.

NPPES Registry Identity

NPI1508440835

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NamePAX PSYCHOTHERAPY PLLC

Location Address1127 10TH AVE E STE 5Seattle, WA 98102-4377

Mailing Address2722 Eastlake Ave E Ste 300Seattle, WA 98102-3143

Phone(206) 309-7915

Organization SubpartNo

Authorized OfficialAnn CarterOwner · (206) 309-7915

Enumeration DateMay 12, 2021

Last NPPES UpdateNovember 9, 20222 updates tracked since enumeration

NPPES CertifiedNovember 9, 2022

✔ NPI 1508440835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

1127 10TH AVE E STE 5, Seattle, WA 98102

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pax Psychotherapy Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pax Psychotherapy PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ann Carter, PH.D.

Clinical Psychologist

NPI 1083167647

10700 MERIDIAN AVE N G-11
Seattle, WA 98133

(206) 366-3010

✔ PECOS✔ Accepts Medicare5.4 mi

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

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 Pax Psychotherapy PLLC's NPI number?

The NPI number for Pax Psychotherapy PLLC is 1508440835. It was assigned to this organization in the NPPES registry on May 12, 2021.

Where is Pax Psychotherapy PLLC located?

Pax Psychotherapy PLLC is located at 1127 10th Ave E Ste 5, Seattle, WA 98102. The listed phone number is (206) 309-7915.

What is Pax Psychotherapy PLLC's specialty?

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

Is Pax Psychotherapy PLLC enrolled in Medicare?

Yes. Pax Psychotherapy PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pax Psychotherapy PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Pax Psychotherapy PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pax Psychotherapy PLLC was last updated on November 9, 2022. 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.