Active NPI
Kseniya Shin
- Psychiatry Physician
- Seattle, WA
National Provider Identifier
1922742907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD70030662
- Practice address
- 1728 E Madison St Ofc 5
Seattle, WA 98122-2733 - Phone
- (360) 364-3613
- NPI assigned
- Apr 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD70030662 | WA | Primary |
Addresses
Primary practice location
1728 E Madison St Ofc 5
Seattle, WA 98122-2733
Mailing address
PO Box 51218
Seattle, WA 98115-1218
Phone (360) 364-3613
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220711002960 | WA | Order and Referring Only - Psychiatry | 3476933268 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Transformation Clinic, PLLC | Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Aspen Health Collective
- Psychiatry Physician
- Seattle, WA
- NPI 1992661086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1922742907",
"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",
"telephone_number": "360-364-3613"
},
{
"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": {
"last_name": "SHIN",
"first_name": "KSENIYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-25",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD70030662",
"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 9, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.