Individual provider

Paulina Kisselev, PHD

Psychologist Clinical Psychologist Medicare enrolled

Paulina Kisselev, PHD is a Psychologist in Seattle, WA, registered under NPI 1831334069. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 1711 12TH AVE, Seattle, WA 98122. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1711 12TH AVE, Seattle, WA 98122 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
00003944 WA Psychologist primary
00003944 WA Clinical Psychologist

This provider holds licence 00003944 issued in WA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Clinical Psychologist
PAC ID
2567510712

Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Psychologist. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Psychologist covers

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. NUCC Health Care Provider Taxonomy, code 103T00000X
Behavioral Health & Social Service Providers Psychologist

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
103T00000X Psychologist 00003944 WA primary
103TC0700X Clinical Psychologist Clinical 00003944 WA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1831334069 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateDec 2, 2008
Last updatedDec 2, 2008
StatusActive
Sole proprietorYes
CredentialPHD
Practice address 1711 12TH AVE
Seattle, WA 98122
(206) 226-2715
This record was last updated on Dec 2, 2008, roughly 17 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1831334069 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 8 3 1 3 3 4 0 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 8 6 1 6 3 8 0 3

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1831334069?
NPI 1831334069 is the National Provider Identifier assigned to Paulina Kisselev, PHD in Seattle, WA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Psychologist cover?
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic…
How do I contact Paulina Kisselev, PHD?
The phone number on file with NPPES is (206) 226-2715, last updated Dec 2, 2008. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Paulina Kisselev, PHD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1831334069 a valid number?
Yes. 1831334069 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.