Sharif Shadi, PSYD
NPI 1396493441ActiveIndividual· Psychologist· Kent, WA
Psychologist (PSYD) in Kent, Washington, licensed in WA and IL, with an NPI issued in March 2022. Enrolled in Medicare as practitioner - clinical psychologist and practitioner - clinical psychologist.
Overview
| NPI | 1396493441 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | No |
| NPI issued | Mar 16, 2022 |
| Last updated in NPPES | Sep 4, 2025 |
| Certified by provider | Sep 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PY61505118 | WA |
| Psychologist | 103T00000X | 071022308 | IL |
| Counselor | 101Y00000X | MC61286801 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (IL); Practitioner - Clinical Psychologist (WA) |
|---|
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