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DR. SHANNON M SORENSON PH.D.
NPI 1972013282
Psychologist - Clinical in Seattle, WA

Active since October 02, 2017Opted out of Medicare · through Jul 1, 2027
1200 5TH AVE STE 800, SEATTLE, WA 98101(610) 349-4401 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2021, Nov 20, 2017 (2 updates tracked since 2017).

About Dr. Shannon M Sorenson Ph.d. NPPES

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

DR. SHANNON M SORENSON PH.D. (NPI 1972013282) is an individual clinical provider in Seattle, Washington, licensed in Massachusetts (10716) and active in the NPI registry since October 2017. She has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1972013282
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SHANNON M SORENSONCredential: PH.D.
Location Address1200 5TH AVE STE 800Seattle, WA 98101-3136
Mailing Address1200 5th Ave Ste 800Seattle, WA 98101-3136 · (610) 349-4401
Phone(610) 349-4401
Sole ProprietorNo
Enumeration DateOctober 2, 2017
Last NPPES UpdateMay 4, 20212 updates tracked since enumeration
NPPES CertifiedApril 26, 2021
✔ NPI 1972013282 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 MA · 10716
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
1200 5TH AVE STE 800, Seattle, WA 98101
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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

Dr. Shannon M Sorenson 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, 2021 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2021
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

DR. ASHLEIGH MARIE HARVEY PHD
Student in an Organized Health Care Education/Training Program
1200 5TH AVE STE 800
SEATTLE, WA 98101
King County (206) 374-0109
SALLONI NANDA
Student in an Organized Health Care Education/Training Program
1200 5TH AVE STE 800
SEATTLE, WA 98101
King County (206) 374-0109
GHINA HAIDAR PHD
Student in an Organized Health Care Education/Training Program
1200 5TH AVE STE 800
SEATTLE, WA 98101
King County (206) 374-0109
IOP AT DBTCS PLLC
Psychologist
1200 5TH AVE STE 800
SEATTLE, WA 98101
King County (206) 374-0109
KATHERINE HURLEY MANGEN PHD
Psychologist (Clinical)
1200 5TH AVE STE 800
SEATTLE, WA 98101
King County (206) 374-0109
ERIKA RUBERRY
Psychologist (Clinical Child & Adolescent)
1200 5TH AVE STE 800
SEATTLE, WA 98101
King County (206) 374-0109
EMILY BOND
Student in an Organized Health Care Education/Training Program
1200 5TH AVE STE 800
SEATTLE, WA 98101
King County (206) 374-0109
COURTNEY CHRISTIAN SIMPSON M.S.
Psychologist
1200 5TH AVE STE 800
SEATTLE, WA 98101
King County (509) 939-4422

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 Shannon Sorenson's NPI number?

The NPI number for Shannon Sorenson is 1972013282. It was assigned to this individual provider in the NPPES registry on October 2, 2017.

Where is Shannon Sorenson located?

Shannon Sorenson practices at 1200 5th Ave Ste 800, Seattle, WA 98101. The listed phone number is (610) 349-4401.

What is Shannon Sorenson's specialty?

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

Is Shannon Sorenson enrolled in Medicare?

No. Shannon Sorenson has opted out of Medicare through July 1, 2027. 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 Shannon Sorenson was last updated on May 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.