SENIOR CONNECTIONS
NPI 1639306582
Psychologist - Clinical in Vancouver, WA
About Senior Connections NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SENIOR CONNECTIONS (NPI 1639306582) is a healthcare organization registered as a clinical in Vancouver, Washington and active in the NPI registry since June 2009. The organization lists David W Agnor, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Senior Connections is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Senior Connections, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (17)
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 Seatac Senior Psychology LLC's NPI number?
The NPI number for Seatac Senior Psychology LLC is 1639306582. It was assigned to this organization in the NPPES registry on June 18, 2009. The provider is doing business as Senior Connections.
Where is Seatac Senior Psychology LLC located?
Seatac Senior Psychology LLC is located at 9340 NE 76th St, Vancouver, WA 98662. The listed phone number is (360) 253-4912.
What is Seatac Senior Psychology LLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Seatac Senior Psychology LLC enrolled in Medicare?
Yes. Seatac Senior Psychology LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Seatac Senior Psychology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 3 Medicare specialties reassign their Medicare billing to Seatac Senior Psychology LLC. 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. The largest specialties are Clinical Psychologist (12), Mental Health Counselor (3) and Clinical Social Worker (2). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Seatac Senior Psychology LLC was last updated on September 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Senior Connections · NPI 1639306582
Clinical organization in Vancouver, Washington. Organization record, active in the CMS NPPES registry since June 18, 2009.
## Identity
- **NPI:** 1639306582 (Entity type: Organization)
- **Enumerated:** June 18, 2009
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Legal business name:** Seatac Senior Psychology Llc
- **Organization subpart:** No
- **Authorized official:** David Agnor, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 9340 NE 76TH ST, Vancouver, WA 98662-3721
- **Phone:** (360) 253-4912 · **Fax:** (360) 253-5170
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (12), Mental Health Counselor (3), Clinical Social Worker (2); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 8, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1639306582) · Data from the CMS NPPES public registry.