WALLACE WILKINS PH.D.
NPI 1508936931
Psychologist - Clinical in Seattle, WA

Active since November 09, 2006Opted out of Medicare · through Jul 1, 2027
901 BOREN AVE STE 1300, SEATTLE, WA 98104(206) 284-1943 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wallace Wilkins Ph.d. NPPES

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

WALLACE WILKINS PH.D. (NPI 1508936931) is an individual clinical provider in Seattle, Washington, licensed in Washington (1454) and active in the NPI registry since November 2006. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1508936931
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameWALLACE WILKINSCredential: PH.D.
Location Address901 BOREN AVE STE 1300Seattle, WA 98104-3509
Mailing Address620 Terry Ave Unit 1907Seattle, WA 98104-2284 · (206) 284-1943 · Fax (206) 284-1943
Sole ProprietorYes
Enumeration DateNovember 9, 2006
Last NPPES UpdateNovember 17, 2022
NPPES CertifiedNovember 17, 2022
NPI 1508936931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in WA · 1454
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 ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License 1454 (WA)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 1454 (WA)
901 BOREN AVE STE 1300, Seattle, WA 98104

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Wallace Wilkins Ph.d. 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 July 1, 2015 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2015
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$189.37 typical visit price
range $63.67 – $189.37
Typical copayment $47.34 (range $15.91 – $47.34)
Most-billed visit code 99205
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

Marriage & Family Therapist
901 BOREN AVE STE 1300
SEATTLE, WA 98104
Marriage & Family Therapist
901 BOREN AVE STE 1300
SEATTLE, WA 98104
Counselor (Mental Health)
901 BOREN AVE STE 1300, C/O ACCORD ASSOCIATES
SEATTLE, WA 98104
Counselor (Mental Health)
901 BOREN AVE STE 1300
SEATTLE, WA 98104
Counselor (Mental Health)
901 BOREN AVE STE 1300
SEATTLE, WA 98104
Counselor (Mental Health)
901 BOREN AVE STE 1300
SEATTLE, WA 98104
Marriage & Family Therapist
901 BOREN AVE STE 1300
SEATTLE, WA 98104

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 Wallace Wilkins's NPI number?

The NPI number for Wallace Wilkins is 1508936931. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Wallace Wilkins located?

Wallace Wilkins practices at 901 Boren Ave Ste 1300, Seattle, WA 98104. The listed phone number is (206) 284-1943.

What is Wallace Wilkins's specialty?

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

Is Wallace Wilkins enrolled in Medicare?

No. Wallace Wilkins has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Wallace Wilkins accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Wallace Wilkins 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 Wallace Wilkins was last updated on November 17, 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.