DR. DAVID SCOTT SHEN-MILLER PH.D.
NPI 1659679827
Psychologist - Health Service in Seattle, WA

Q: What is David Shen-miller's NPI number?

The NPI number for David Shen-miller is 1659679827. It was assigned to this individual provider in the NPPES registry on March 11, 2011. The provider is also known as Dr. David Scott Miller Ph.D..

Q: What is David Shen-miller's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Q: Is David Shen-miller enrolled in Medicare?

No. David Shen-miller has opted out of Medicare through July 1, 2028. 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.

Q: When was this NPI record last updated?

The NPPES record for David Shen-miller was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 11, 2011Opted out of Medicare · through Jul 1, 2028

1914 N 34TH ST STE 206, SEATTLE, WA 98103(541) 954-3755 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 22, 2017 and 1 more (4 updates tracked since 2017).

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About Dr. David Scott Shen-miller Ph.d. NPPES

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

DR. DAVID SCOTT SHEN-MILLER PH.D. (NPI 1659679827) is an individual health service provider in Seattle, Washington, licensed in Washington (PY60560787) and active in the NPI registry since March 2011. He has opted out of Medicare through July 1, 2028 and remains eligible to order and refer and maintains a secondary practice location in Woodinville.

NPPES Registry Identity

NPI1659679827

Entity TypeIndividualMale

Primary Taxonomy103TH0100X

Provider Legal NameDR. DAVID SCOTT SHEN-MILLERCredential: PH.D.

Location Address1914 N 34TH ST STE 206Seattle, WA 98103-9089

Mailing Address508 N 82nd StSeattle, WA 98103-4306 · (541) 954-3755

Phone(541) 954-3755

Sole ProprietorYes

Enumeration DateMarch 11, 2011

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

✔ NPI 1659679827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers

Taxonomy Code103TH0100X

License✔ Licensed in WA · PY60560787

Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

Also ListedPsychologistTaxonomy 103T00000X · License PY60560787 (WA)

Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License PY60560787 (WA)

Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License PY60560787 (WA)

1914 N 34TH ST STE 206, Seattle, WA 98103

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Other Names 1

Former Name (1)Dr. David Scott Miller Ph.d.

Secondary Practice Location 1

Location 117000 140th Ave NE, Suite E102Woodinville, WA 98072-6928 · Phone (541) 954-3755

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.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. David Scott Shen-miller 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, 2022 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2022

Opt-Out In Effect ThroughJuly 1, 2028Opt-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 10

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

DAVID SHEN-MILLER, PLLC

Clinic/Center (Adult Mental Health)