Sharon Xie, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

60668316 Issued in WA

Practice address

11703 NE 80TH St
Unit D4
Kirkland, WA 98033-8126

Phone

(206) 331-5515

NPI assigned

Mar 3, 2017

Sex

Female

Sole proprietor

Yes

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.

• Under One Roof Psychological Services

  • Psychologist
  • Seattle, WA
  • NPI 1467126607
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 12, 2023 through Dec 12, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 7, 2022.

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1740720135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 25TH AVE NE STE 102W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055667",
            "telephone_number": "206-257-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11703 NE 80TH ST",
            "address_2": "UNIT D4",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338126",
            "telephone_number": "206-331-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIE",
        "first_name": "SHARON",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-03",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "60668316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Wu, MD
• Patricia Roth Wuertzer, A.R.N.P.
• Devin Wulff, DPT
• Lauren Wurth
• Qiang Xiao, LMP
• Amir Yacoub
• Teresa K Yagi, D.D.S.
• Christopher Yagumyum, LPN
• Tyler Yamamoto
• Reshmi Yandapalli, DAOM

• All providers in Kirkland, WA
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.