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Deactivated NPI 1356558746 Deactivated / Inactive NPI Male Practitioner

Dr. Anthony M Eusanio , PhD

Psychologist - Clinical • Edmonds, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Anthony Eusanio has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 17, 2007
NPI Deactivation Date December 31, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Eusanio, PhD was a registered Psychologist - Clinical practicing in Edmonds, WA. Throughout an active medical career spanning 11 years, Dr. Eusanio provided care at the practice location at 300 ADMIRAL WAY until profile deactivation on 2018-12-31.

Practice Location & Contact Primary Location

Practice Address

300 Admiral Way
Suite 207

Edmonds, WA 980207230

Telephone 4252315248
Associated Practice Facility / Clinic
🏢 Kate Lund Psychology, Pllc Facility NPI 1952654204

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Edmonds, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.8 Yrs
State Avg: 22.9 Yrs
Regional Practice Density
23 Specialists

Practicing in Edmonds, WA (1744 Statewide)

Telehealth Adoption Rate
8.7% 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

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License WA PY00002207

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Jessica Mason , PsyD

Psychologist - Clinical

NPI 1447412721

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 31, 2018

Record deactivated on December 31, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 300 ADMIRAL WAY, SUITE 207, EDMONDS, WA 980207230 (Tel: 4252315248)

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Updated Business Mailing Address July 08, 2007

Registered at 1224 6TH AVE S # C305, EDMONDS, WA 980204674 (Tel: 4252315248)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ANTHONY EUSANIO, PH.D.

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

Psychologist (License #PY00002207 in WA)

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Initial NPI Registration & Enumeration May 17, 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: 1356558746
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2007
Last Update: July 08, 2007
Deactivation Date: December 31, 2018

Mailing Address

1224 6th Ave S # C305

Edmonds, WA 980204674

Phone: 4252315248

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.