DR. VANESSA PROSPER PSYD
NPI 1720693484
Psychologist - Clinical in Seattle, WA

Q: What is Vanessa Prosper's NPI number?

The NPI number for Vanessa Prosper is 1720693484. It was assigned to this individual provider in the NPPES registry on September 10, 2020.

Q: What is Vanessa Prosper's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Vanessa Prosper was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 September 10, 2020PECOS EnrolledAccepts Medicare Assignment

9709 3RD AVE NE, SEATTLE, WA 98115(206) 329-1760 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 29, 2026, Apr 15, 2026, Sep 20, 2021 and 1 more (4 updates tracked since 2020).

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About Dr. Vanessa Prosper Psyd NPPES

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

DR. VANESSA PROSPER PSYD (NPI 1720693484) is an individual clinical provider in Seattle, Washington, licensed in Washington (PY.70019774) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Seattle, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1720693484

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. VANESSA PROSPERCredential: PSYD

Location Address9709 3RD AVE NESeattle, WA 98115-2062

Mailing Address7600 Evergreen WayEverett, WA 98203-6421 · (206) 860-5414

Phone(206) 329-1760

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 10, 2020

Last NPPES UpdateMay 29, 20264 updates tracked since enumeration

NPPES CertifiedMay 29, 2026

✔ NPI 1720693484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WA · PY.70019774

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9709 3RD AVE NE, Seattle, WA 98115

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Secondary Practice Location 1

Location 16404 9th Ave NE Apt 300Seattle, WA 98115-5557 · Phone (321) 261-4181

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Vanessa Prosper Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234607144

PECOS Enrollment IDI20260508003025

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98115 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 20

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

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