Active NPI
Barberry Clinic, PLLC
- Psychiatry Physician
- Seattle, WA
National Provider Identifier
1083526115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- BARBERRY CLINIC, PLLC
- Practice address
- 1728 E Madison St Ofc 5
Seattle, WA 98122-2733 - Phone
- (360) 364-3613
- NPI assigned
- Sep 22, 2026
- Last updated
- Sep 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kseniya Shin, MD, PHD
- Title
- Owner, Provider
- Phone
- (360) 364-3613
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
1728 E Madison St Ofc 5
Seattle, WA 98122-2733
Mailing address
PO Box 51218
Seattle, WA 98115-1218
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Seattle, WA
- NPI 1922742907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790035200000",
"number": "1083526115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51218",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981151218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1728 E MADISON ST OFC 5",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981222733",
"telephone_number": "360-364-3613"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARBERRY CLINIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-22",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A",
"authorized_official_last_name": "SHIN",
"authorized_official_first_name": "KSENIYA",
"authorized_official_title_or_position": "OWNER, PROVIDER",
"authorized_official_telephone_number": "360-364-3613",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, PHD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.