Individual provider Active NPI

Vaishali Shah, M.D.

  • Psychiatry Physician
  • Vancouver, WA
National Provider Identifier
1184853483
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD60821189 Issued in WA
Practice address
400 NE Mother Joseph PL
Vancouver, WA 98664-3200
Phone
(360) 696-5232
NPI assigned
Jul 8, 2009
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD60821189 WA Primary
Psychiatry Physician 2084P0800X 2009010819 MO

Addresses

Primary practice location

400 NE Mother Joseph PL
Vancouver, WA 98664-3200

Mailing address

1 Barnes Jewish Hospital PLZ
4TH Floor, Renard Building
Saint Louis, MO 63110-1003
Phone (832) 279-7060

Other practice location 1

201 NE Park Plaza Dr Ste 145
Vancouver, WA 98684-5873
Phone (360) 729-8383

Other practice location 2

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 636-4836

Other practice location 3

1 Barnes Jewish Hospital Plz
4th Floor, Renard Building
Saint Louis, MO 63110-1003
Phone (832) 279-7060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180327002454 WA Practitioner - Psychiatry 7618110016 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Phoenix Group PLLCGroup PAC ID 5799148854, 8 clinicians
PeacehealthGroup PAC ID 9739092065, 101 clinicians

Practice addresses (Care Compare)

1499 SE Tech Ctr PL
Suite 190
Vancouver, WA 98683-5529
Phone (360) 828-7802

400 NE Mother Joseph PL
Vancouver, WA 98664-3200
Phone (360) 514-1734

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2009010819MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Mar 20, 2018 Accepting new patients
Peacehealth CurrentSince Mar 20, 2018 Accepting new patients
Pacific Phoenix Group PLLC Psychiatry CurrentSince May 5, 2024 Accepting new patients
Peacehealth CurrentSince May 4, 2021 Accepting new patients
Peacehealth CurrentSince Sep 25, 2025 Accepting new patients
Southwest Washington Medical Center Past Accepting new patients

Locations

8524 Steilacoom Blvd SW
Ste 102B
Lakewood, WA 98498
Phone (253) 237-3348

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100

1499 SE Tech Center Pl
Ste 190
Vancouver, WA 98683
Phone (360) 773-6340

16420 SE McGillivray Blvd
Ste 103253
Vancouver, WA 98683

201 NE Park Plaza Dr
Ste 145
Vancouver, WA 98684
Phone (360) 729-8383

2501 NE 134th St
Ste 104
Vancouver, WA 98686
Phone (360) 828-7802

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854

Interoperability endpoints

  • Direct secure messaging: vshah365819@direct.peacehealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1184853483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BARNES JEWISH HOSPITAL PLZ",
            "address_2": "4TH FLOOR, RENARD BUILDING",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101003",
            "telephone_number": "832-279-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NE MOTHER JOSEPH PL",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986643200",
            "telephone_number": "360-696-5232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 NE Park Plaza Dr Ste 145",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986845873",
            "country_code": "US",
            "telephone_number": "360-729-8383",
            "fax_number": "360-729-3534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322367",
            "country_code": "US",
            "telephone_number": "360-636-4836",
            "fax_number": "360-414-7639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Barnes Jewish Hospital Plz",
            "address_2": "4th Floor, Renard Building",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631101003",
            "country_code": "US",
            "telephone_number": "832-279-7060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VAISHALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD60821189",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2009010819",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.