John A. Deninno, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00000524 Issued in WA

Practice address

7500 212TH St SW
Ste 105a
Edmonds, WA 98026-7614

Phone

(206) 363-4205

NPI assigned

Jan 11, 2007

Last updated

Dec 10, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481328000000",
    "number": "1144370016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 212TH ST SW",
            "address_2": "STE 105A",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267614",
            "telephone_number": "206-363-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 212TH ST SW",
            "address_2": "STE 105A",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267614",
            "telephone_number": "206-363-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENINNO",
        "first_name": "JOHN",
        "middle_name": "A.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2016-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00000524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7096407",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexa Dedmon
• Carlos Del Rio
• George R Delaney, MD
• Emebet Demisse, RN
• Kelly Lynn Dempsey, ARNP
• Dental Professionals of Washington Quirt Mongrain Gibree PC (Dental Care of Edmonds)
• Shauna Anne Dentler, MD
• Alexis J Desenberg
• Janet Lynn Determan, OT
• Nicholas S. Dichiara, PA-C

• Clinical Psychologist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.