Sharif Shadi, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY61505118 Issued in WA

Practice address

403 E Meeker St Ste 200
Kent, WA 98030-5904

Phone

(253) 852-2866

NPI assigned

Mar 16, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA, IL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HealthpointGroup PAC ID 9335042886, shared by 20 NPIs, 175 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sharif.shadi.p3@direct.hpc.nextgenshare.com
• Direct secure messaging: sshadi21824@healthpoint.direct-ci.com

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

• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Kent, WA
  • NPI 1831199454
  Medicare reassignment NPD
• Mount Sinai Community Foundation

  • Rehabilitation Hospital
  • Chicago, IL
  • NPI 1376715896
  Medicare reassignment NPD
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Auburn, WA
  • NPI 1699156141
  NPD
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1770471377
  NPD
• Mount Sinai Community Foundation

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1558409052
  NPD
• Mount Sinai Community Foundation

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1982657854
  NPD
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Renton, WA
  • NPI 1629061353
  NPD (past)
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Redmond, WA
  • NPI 1891795621
  NPD (past)

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1396493441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 5TH AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095100",
            "telephone_number": "646-290-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E MEEKER ST STE 200",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980305904",
            "telephone_number": "253-852-2866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 State Ave N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980304543",
            "country_code": "US",
            "telephone_number": "253-372-3602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 S California Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606081732",
            "country_code": "US",
            "telephone_number": "773-542-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHADI",
        "first_name": "SHARIF",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-16",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071022308",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "MC61286801",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY61505118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sshadi21824@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "403 E Meeker St Ste 200",
            "city": "Kent",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980305904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marilyn Sell, CO61174321
• Rim Sem, ARNP
• Senior Helpers of Seattle
• Alexander Sergeev
• Jessica Serrano, DNP, ARNP, FNP-BC
• Kajal Rajivkumar Shah
• Payal Mitesh Shah, M.D.
• Maria A Shahbaaz, RN
• Gurpreet Kaur Shahi, DE60968335
• Shanti Shakya

• Psychologist in Kent, WA
• Providers in Kent, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.