DR. JACQUELINE WENDY LEIBSOHN PH.D.
NPI 1528236833
Psychologist in Seattle, WA

Active since February 20, 2008Opted out of Medicare · through Sep 7, 2027
1820 12TH AVE, SEATTLE, WA 98122(206) 296-5766 Get Directions Write a Review

NPPES record last updated: February 20, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Jacqueline Wendy Leibsohn Ph.d. NPPES

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

DR. JACQUELINE WENDY LEIBSOHN PH.D. (NPI 1528236833) is an individual psychologist in Seattle, Washington, licensed in Washington (1478) and active in the NPI registry since February 2008. She has opted out of Medicare through September 7, 2027.

NPPES Registry Identity

NPI1528236833
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JACQUELINE WENDY LEIBSOHNCredential: PH.D.
Location Address1820 12TH AVESeattle, WA 98122-2438
Mailing AddressPo Box 222000, Seattle University, Loyola 212Seattle, WA 98122 · (206) 296-5766 · Fax (206) 296-1892
Sole ProprietorYes
Enumeration DateFebruary 20, 2008
NPI 1528236833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WA · 1478
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.
1820 12TH AVE, Seattle, WA 98122

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

Dr. Jacqueline Wendy Leibsohn 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 September 7, 2023 through September 7, 2027.

Opt-Out Effective DateSeptember 7, 2023
Opt-Out In Effect ThroughSeptember 7, 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.

Other Providers at the Same Location NPPES 14

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

Counselor (Mental Health)
1820 12TH AVE, SUITE 201
SEATTLE, WA 98122
Social Worker (Clinical)
1820 12TH AVE
SEATTLE, WA 98122
Counselor (Mental Health)
1820 12TH AVE
SEATTLE, WA 98122
Clinic/Center (Physical Therapy)
1820 12TH AVE, SUITE 101
SEATTLE, WA 98122
Counselor (Mental Health)
1820 12TH AVE
SEATTLE, WA 98122
Counselor (Mental Health)
1820 12TH AVE
SEATTLE, WA 98122
Psychologist (Counseling)
1820 12TH AVE
SEATTLE, WA 98122
Massage Therapist
1820 12TH AVE, SUITE 202
SEATTLE, WA 98122

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 Jacqueline Leibsohn's NPI number?

The NPI number for Jacqueline Leibsohn is 1528236833. It was assigned to this individual provider in the NPPES registry on February 20, 2008.

Where is Jacqueline Leibsohn located?

Jacqueline Leibsohn practices at 1820 12th Ave, Seattle, WA 98122. The listed phone number is (206) 296-5766.

What is Jacqueline Leibsohn's specialty?

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

Is Jacqueline Leibsohn enrolled in Medicare?

No. Jacqueline Leibsohn has opted out of Medicare through September 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jacqueline Leibsohn accept?

Health plans from PacificSource Health Plans list Jacqueline Leibsohn 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 Jacqueline Leibsohn was last updated on February 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.