DR. KAREN S. WICKWIRE PH.D.
NPI 1972635019
Psychologist in Seattle, WA

Active since March 12, 2007Opted out of Medicare · through Jan 1, 2028
2107 ELLIOTT AVE STE 309, SEATTLE, WA 98121(206) 441-6117(206) 441-6147 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Karen S. Wickwire Ph.d. NPPES

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

DR. KAREN S. WICKWIRE PH.D. (NPI 1972635019) is an individual psychologist in Seattle, Washington, licensed in Washington (1036) and active in the NPI registry since March 2007. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1972635019
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KAREN S. WICKWIRECredential: PH.D.
Location Address2107 ELLIOTT AVE STE 309Seattle, WA 98121-2160
Mailing Address2107 Elliott Ave Ste 309Seattle, WA 98121-2160 · (206) 441-6117 · Fax (206) 441-6147
Fax(206) 441-6147
Sole ProprietorYes
Enumeration DateMarch 12, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1972635019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WA · 1036
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
2107 ELLIOTT AVE STE 309, Seattle, WA 98121

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. Karen S. Wickwire 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 January 1, 2020 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2020
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Karen Wickwire's NPI number?

The NPI number for Karen Wickwire is 1972635019. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Where is Karen Wickwire located?

Karen Wickwire practices at 2107 Elliott Ave Ste 309, Seattle, WA 98121. The listed phone number is (206) 441-6117.

What is Karen Wickwire's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Karen Wickwire enrolled in Medicare?

No. Karen Wickwire has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Karen Wickwire 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.