DR. SHIRA OLSEN PH.D.
NPI 1801228960
Psychologist - Clinical in Bellevue, WA

Active since July 31, 2013Opted out of Medicare · through Jun 18, 2028
2370 130TH AVE NE STE 104, BELLEVUE, WA 98005(425) 628-2820 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Shira Olsen Ph.d. NPPES

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

DR. SHIRA OLSEN PH.D. (NPI 1801228960) is an individual clinical provider in Bellevue, Washington, licensed in Washington (PY60411510) and active in the NPI registry since July 2013. She has opted out of Medicare through June 18, 2028.

NPPES Registry Identity

NPI1801228960
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SHIRA OLSENCredential: PH.D.
Location Address2370 130TH AVE NE STE 104Bellevue, WA 98005-1770
Mailing Address2370 130th Ave Ne Ste 104Bellevue, WA 98005-1770 · (425) 628-2820
Sole ProprietorNo
Enumeration DateJuly 31, 2013
Last NPPES UpdateFebruary 12, 2026
NPI 1801228960 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 · PY60411510
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.
2370 130TH AVE NE STE 104, Bellevue, WA 98005

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. Shira Olsen 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 June 18, 2024 through June 18, 2028.

Opt-Out Effective DateJune 18, 2024
Opt-Out In Effect ThroughJune 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 14

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

Counselor (Mental Health)
2370 130TH AVE NE STE 104
BELLEVUE, WA 98005
Psychologist
2370 130TH AVE NE STE 104
BELLEVUE, WA 98005
Counselor (Mental Health)
2370 130TH AVE NE STE 104
BELLEVUE, WA 98005
Psychologist
2370 130TH AVE NE STE 104
BELLEVUE, WA 98005
Psychologist
2370 130TH AVE NE STE 104
BELLEVUE, WA 98005
Psychologist
2370 130TH AVE NE STE 104
BELLEVUE, WA 98005
Counselor (Mental Health)
2370 130TH AVE NE STE 104
BELLEVUE, WA 98005
Psychologist
2370 130TH AVE NE STE 104
BELLEVUE, WA 98005

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 Shira Olsen's NPI number?

The NPI number for Shira Olsen is 1801228960. It was assigned to this individual provider in the NPPES registry on July 31, 2013.

Where is Shira Olsen located?

Shira Olsen practices at 2370 130th Ave NE Ste 104, Bellevue, WA 98005. The listed phone number is (425) 628-2820.

What is Shira Olsen's specialty?

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

Is Shira Olsen enrolled in Medicare?

No. Shira Olsen has opted out of Medicare through June 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Shira Olsen was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.