DR. JACQUELINE WENDY LEIBSOHN PH.D.
NPI 1528236833
Psychologist in Seattle, WA
NPI Status: Active since February 20, 2008
- Individual
- Female
- Psychologist
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About JACQUELINE LEIBSOHN
This page provides the complete NPI Profile along with additional information for Jacqueline Leibsohn, a provider established in Seattle, Washington with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1528236833 assigned on February 2008. The practitioner's primary taxonomy code is 103T00000X with license number 1478 (WA). The provider is registered as an individual and her NPI record was last updated 17 years ago.
- NPI
- 1528236833
- Provider Name
- DR. JACQUELINE WENDY LEIBSOHN PH.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1820 12TH AVE SEATTLE, WA 98122
- Location Phone
- (206) 296-5766
- Mailing Address
- PO BOX 222000 SEATTLE UNIVERSITY, LOYOLA 212 SEATTLE, WA 98122
- Mailing Phone
- (206) 296-5766
- Mailing Fax
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-20-2008
- Last Update Date
- 02-20-2008
- Code Navigator
A psychologist like Jacqueline Leibsohn studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jacqueline Leibsohn opted out of Medicare effective on 09-07-2023 until 09-07-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist
- Taxonomy Code
- 103T00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 1478
- License State
- WA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
- PacificSource Oregon Standard Bronze Plan NAV - PPO
- PacificSource Oregon Standard Gold Plan NAV - PPO
- PacificSource Oregon Standard Silver Plan NAV - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Jacqueline Leibsohn is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 09-07-2023
Opt-Out End Date: 09-07-2025
Eligible to Order and Refer? No
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for DR. JACQUELINE WENDY LEIBSOHN PH.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 2 | 3 | 6 | 8 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 4 | 3 | 12 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 4 + 3 + 1 + 2 + 8 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1528236833 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1619977766 | DR. BARRY EBEN PH.D. Individual | Psychologist | 1820 12TH AVE SUITE 5 SEATTLE, WA 98122 (206) 568-6858 |
| 1457406316 | DR. ANDREW PETER THOMPSON PH.D. Individual | Psychologist (Counseling) | 1820 12TH AVE SEATTLE, WA 98122 (206) 860-6122 |
| 1568505675 | MS. AMALIA MORSI LMP Individual | Massage Therapist | 1820 12TH AVE SUITE 202 SEATTLE, WA 98122 (206) 355-6607 |
| 1437379153 | MS. JILL LEE M.A., L.M.H.C. Individual | Counselor (Mental Health) | 1820 12TH AVE SEATTLE, WA 98122 (206) 389-1228 |
| 1881907590 | KATE M BRADFIELD Individual | Massage Therapist | 1820 12TH AVE SUITE #203 SEATTLE, WA 98122 (206) 329-0377 |
| 1932498441 | SEATTLE PHYSICAL THERAPY SOLUTIONS LLC Organization | Physical Therapist (Orthopedic) | 1820 12TH AVE SUITE 101 SEATTLE, WA 98122 (206) 860-3746 |
| 1265701395 | LIBERTY PHYSICAL THERAPY Organization | Clinic/Center (Physical Therapy) | 1820 12TH AVE SUITE 101 SEATTLE, WA 98122 (206) 860-3746 |
| 1083033740 | JENNIFER CRESON LMHC Individual | Counselor (Mental Health) | 1820 12TH AVE SUITE 201 SEATTLE, WA 98122 (206) 841-1198 |
| 1215540612 | ELIZABETH DIOS Individual | Social Worker (Clinical) | 1820 12TH AVE SEATTLE, WA 98122 (206) 414-9365 |
| 1760074074 | HAVE HEART HEALING, PLLC Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 1820 12TH AVE SEATTLE, WA 98122 (206) 414-9365 |
| 1013671213 | KYLE FRANCOIS MENETRIER DEVRIES LMCHA, MS Individual | Counselor (Mental Health) | 1820 12TH AVE SEATTLE, WA 98122 (206) 414-9365 |
| 1265190037 | SYDNEY WOOLSTON MS., LMHCA Individual | Counselor (Mental Health) | 1820 12TH AVE SEATTLE, WA 98122 (206) 414-9365 |
| 1376265199 | CAITLIN ELIZABETH BERGMAN MSW, LSWAIC Individual | Social Worker | 1820 12TH AVE SEATTLE, WA 98122 (206) 414-9365 |
| 1801507017 | DANNY KOCHANOWSKI Individual | Counselor (Mental Health) | 1820 12TH AVE SEATTLE, WA 98122 (206) 414-9365 |
| 1639851942 | REBECCA EMRICK MSW, LSWAIC Individual | Social Worker (Clinical) | 1820 12TH AVE SEATTLE, WA 98122 (206) 414-9365 |
| 1316658024 | MAXIM MICHAEL ZHVANETSKY BS, MA, LMHCA Individual | Counselor (Mental Health) | 1820 12TH AVE SEATTLE, WA 98122 (206) 929-2410 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528236833, enumerated in the NPI registry as an "individual" on February 20, 2008
The provider is located at 1820 12th Ave Seattle, Wa 98122 and the phone number is (206) 296-5766
The provider's speciality is Psychologist with taxonomy code 103T00000X
The provider might be accepting Accepts: PacificSource Health Plans. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
No, the provider signed an affidavit on September 07, 2023 to opt-out of the Medicare program. The provider is excluded from the Medicare program until September 07, 2025.
This NPI record was last updated on February 20, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.