NPIMap

Organization Active NPI

Shift Therapy & Assessment, PLLC

  • Clinical Psychologist
  • Port Orchard, WA
National Provider Identifier
1043188907
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SHIFT THERAPY & ASSESSMENT, PLLC
Practice address
8792 SE Overaa Rd
Port Orchard, WA 98367-8657
Phone
(516) 500-2065
NPI assigned
Oct 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Nadia Jafari, PHDNPI 1164915823
Title
Licensed Psychologist, Owner
Phone
(516) 500-2065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

8792 SE Overaa Rd
Port Orchard, WA 98367-8657

Mailing address

8792 SE Overaa Rd
Port Orchard, WA 98367-8657
Phone (516) 500-2065

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1043188907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8792 SE OVERAA RD",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983678657",
            "telephone_number": "516-500-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8792 SE OVERAA RD",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983678657",
            "telephone_number": "516-500-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFT THERAPY & ASSESSMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "JAFARI",
        "authorized_official_first_name": "NADIA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST, OWNER",
        "authorized_official_telephone_number": "516-500-2065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.