Pacific Wellness Partners (PWP) PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PACIFIC WELLNESS PARTNERS (PWP) PLLC

Practice address

5400 Carillon PT BLDG 50004TH
Kirkland, WA 98033-7357

Phone

(818) 635-4337

NPI assigned

Nov 14, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Shadi Shirazi, PSYDNPI 1962650408

Title

Clinical Director/Owner

Phone

(818) 635-4337

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Shadi Ghaffarian Shirazi, PSY.D.

  • Counselor
  • Seattle, WA
  • NPI 1962650408

  Clinical

  NPD (past) Authorized official

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1902441751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 210TH CIR NE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980744210",
            "telephone_number": "818-635-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 CARILLON PT BLDG 50004TH",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337357",
            "telephone_number": "818-635-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC WELLNESS PARTNERS (PWP) PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "SHIRAZI",
        "authorized_official_first_name": "SHADI",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "818-635-4337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariann Koenig Oxford, COTA
• PA Surgical Services
• Pacific Colon and Rectal Clinic PS
• Pacific Health Restoration
• Pacific Institute of Family Dynamics, Inc.
• Pacmed Clinics
• Jeanne Claire Pacubas
• Ryan G Padgett, M.D.
• Elizabeth Christine Padilla, BCBA
• Jacqueline Padilla

• Clinical Psychologist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.