John Sutton-Gamache, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0001271 Issued in WA

Practice address

5837 221St PL SE
Issaquah, WA 98027-8917

Phone

(425) 391-0887

Fax

(425) 391-7014

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2017 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Homer Psychological Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Homer, AK
  • NPI 1831254283
  NPD (past) Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210377600000",
    "number": "1467501734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5837 221ST PL SE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278917",
            "telephone_number": "425-391-0887",
            "fax_number": "425-391-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5837 221ST PL SE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278917",
            "telephone_number": "425-391-0887",
            "fax_number": "425-391-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON-GAMACHE",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AK",
            "license": "AA02881",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY0001271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PS02881",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quinn E Sundvall, DPT
• Sunrise Senior Living Management Inc
• Susan L. Cohn & Associates
• Susan Toth Patiejunas, PH.D., LLC
• Suseela Narra Dermatology, PLLC
• Amy Lyn Svensson, M.A., CCC-SLP
• Seth P Swank, D.O.
• Margaret E. Swanson, P.T.
• Miranda Swanson, DPT
• Kathryn Ann Swartz, ARNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.