Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194845198 Individual Practitioner Male Practitioner

Dr. Thomas Deantonio , PhD

Psychologist • Hailey, ID

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Deantonio, PhD is a registered healthcare professional specializing in Psychologist in Hailey, ID. Practice services are available at 1361 BLUFF DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1361 Bluff Dr

Hailey, ID 833338895

Telephone 8183997384

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Hailey, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Hailey, ID (175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-02
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License CA PSY14726

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location November 02, 2022

Registered at 1361 BLUFF DR, HAILEY, ID 833338895 (Tel: 8183997384)

📍
Updated Business Mailing Address November 02, 2022

Registered at 820 S MAIN ST UNIT 3671, HAILEY, ID 833336339 (Tel: 8183997384)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 21201 VICTORY BLVD, SUITE 250, CANOGA PARK, CA 913032830 (Tel: 8187849802)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 260814, ENCINO, CA 914260814 (Tel: 8187849802)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS DEANTONIO, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #PSY14726 in CA)

🟢
Initial NPI Registration & Enumeration March 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194845198
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2007
Last Update: November 02, 2022
Sole Proprietor: Yes

Mailing Address

820 S Main St Unit 3671

Hailey, ID 833336339

Phone: 8183997384

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.