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

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: July 19, 2026.

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

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
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.

9709 3RD AVE NE, Seattle, WA 98115

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.

Dentist
9709 3RD AVE NE, SUITE 400
SEATTLE, WA 98115
Physician Assistant
9709 3RD AVE NE, SUITE 309
SEATTLE, WA 98115
Physician Assistant
9709 3RD AVE NE
SEATTLE, WA 98115
Occupational Therapist
9709 3RD AVE NE
SEATTLE, WA 98115
Family Medicine (Geriatric Medicine)
9709 3RD AVE NE
SEATTLE, WA 98115
Social Worker (Clinical)
9709 3RD AVE NE
SEATTLE, WA 98115
Physical Therapist
9709 3RD AVE NE
SEATTLE, WA 98115
Urology
9709 3RD AVE NE
SEATTLE, WA 98115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720693484, enumerated as an "individual" on September 10, 2020.

The provider is located at 9709 3RD AVE NE SEATTLE, WA 98115 and the phone number is (206) 329-1760.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.