LISA JOY SHAW PH.D.
NPI 1770656258
Psychologist - Clinical in Issaquah, WA

Q: What is Lisa Shaw's NPI number?

The NPI number for Lisa Shaw is 1770656258. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Q: What is Lisa Shaw's specialty?

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

Q: Is Lisa Shaw enrolled in Medicare?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Shaw was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 November 15, 2006Opted out of Medicare · through Nov 7, 2027

55 1ST PL NW, ISSAQUAH, WA 98027(425) 681-3760(425) 392-2509 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa Joy Shaw Ph.d. NPPES

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

LISA JOY SHAW PH.D. (NPI 1770656258) is an individual clinical provider in Issaquah, Washington, licensed in Washington (PY00002400) and active in the NPI registry since November 2006. She has opted out of Medicare through November 7, 2027.

NPPES Registry Identity

NPI1770656258

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameLISA JOY SHAWCredential: PH.D.

Location Address55 1ST PL NWIssaquah, WA 98027-3271

Mailing Address55 1st Pl NwIssaquah, WA 98027-3271 · (425) 681-3760 · Fax (425) 392-2509

Phone(425) 681-3760

Fax(425) 392-2509

Sole ProprietorYes

Enumeration DateNovember 15, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1770656258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WA · PY00002400

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.

55 1ST PL NW, Issaquah, WA 98027

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lisa Joy Shaw 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 November 7, 2023 through November 7, 2027.

Opt-Out Effective DateNovember 7, 2023

Opt-Out In Effect ThroughNovember 7, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

DR. EARLINE ANDERSON PH.D.

Psychologist (Counseling)