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NPISignal

Individual Healthcare Provider

Joyce Shaffer, PHD

NPI Record: ActivePsychologist — Cognitive & Behavioral
NPI1063690097
Bellevue, Washington

Provider's NPPES record last updated: February 1, 2008

Overview

Entity Type
Individual Healthcare Provider
NPI
1063690097
Primary Specialty
Psychologist — Cognitive & Behavioral
Practice Location
Bellevue, Washington
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 10:58 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychologist

    Cognitive & Behavioral

    Behavioral Health & Social Service Providers

    Primary

    A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

    Taxonomy code 103TB0200X
  • Psychologist

    Adult Development & Aging

    Behavioral Health & Social Service Providers

    A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care.

    Taxonomy code 103TA0700X

Provider-Reported License Information

Psychologist (Washington)
PY00000752
Psychologist (Washington)
PY00000752
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

401 100th Ave Ne

#316

Bellevue, Washington 98004-5459

Phone: (425) 445-2202

Record Information

Enumeration Date
February 1, 2008
Provider's NPPES Record Last Updated
February 1, 2008
NPISignal NPPES Dataset
August 2026

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