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DR. EMILY JANE RASTALL PH.D.
NPI 1104134246
Psychologist - Clinical in Seattle, WA

Active since September 23, 2010Opted out of Medicare · through Apr 1, 2027
4909 25TH AVE NE, SEATTLE, WA 98105(206) 987-8080(206) 987-8081 Get Directions Write a Review

NPPES record last updated: September 23, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Emily Jane Rastall Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EMILY JANE RASTALL PH.D. (NPI 1104134246) is an individual clinical provider in Seattle, Washington, licensed in Washington (PY 60133188) and active in the NPI registry since September 2010. She has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1104134246
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. EMILY JANE RASTALLCredential: PH.D.
Location Address4909 25TH AVE NESeattle, WA 98105-4107
Mailing Address8349 Jones Ave NwSeattle, WA 98117-3503 · (360) 904-8111
Phone(206) 987-8080
Fax(206) 987-8081
Sole ProprietorNo
Enumeration DateSeptember 23, 2010
✔ NPI 1104134246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WA · PY 60133188
Definition
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.
4909 25TH AVE NE, Seattle, WA 98105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Emily Jane Rastall Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2021 through April 1, 2027.

Opt-Out Effective DateApril 1, 2021
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$189.37 typical visit price
range $63.67 – $189.37
Typical copayment $47.34 (range $15.91 – $47.34)
Most-billed visit code 99205
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBRA BETH GLAZER PT, MPH
Physical Therapist (Pediatrics)
4909 25TH AVE NE, #200
SEATTLE, WA 98105
King County (206) 388-3751
ELIZABETH SMITH MS, BCBA, LBA
Behavior Analyst
4909 25TH AVE NE
SEATTLE, WA 98105
King County (206) 987-4724
BLAYNE D STEMPLE
Behavior Analyst
4909 25TH AVE NE
SEATTLE, WA 98105
King County (206) 987-8080
MRS. COLEEN MARY GILCHRIST OTR/L
Occupational Therapist
4909 25TH AVE NE, SUITE 200
SEATTLE, WA 98105
King County (206) 388-3751
SOO-JEONG KIM M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4909 25TH AVE NE, SEATTLE CHILDRENS AUTISM CENTER
SEATTLE, WA 98105
King County (206) 987-8080
MOLLY EWBANK MED
Counselor
4909 25TH AVE NE
SEATTLE, WA 98105
King County (206) 987-4707
EUNICE BARRON M.S., CCC-SLP, BCBA
Behavior Analyst
4909 25TH AVE NE
SEATTLE, WA 98105
King County (206) 987-8080
KARA KARP
Occupational Therapist
4909 25TH AVE NE, SUITE 200
SEATTLE, WA 98105
King County (206) 388-3751

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emily Rastall's NPI number?

The NPI number for Emily Rastall is 1104134246. It was assigned to this individual provider in the NPPES registry on September 23, 2010.

Where is Emily Rastall located?

Emily Rastall practices at 4909 25th Ave NE, Seattle, WA 98105. The listed phone number is (206) 987-8080.

What is Emily Rastall's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Emily Rastall enrolled in Medicare?

No. Emily Rastall has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Emily Rastall accept?

Health plans from PacificSource Health Plans list Emily Rastall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emily Rastall was last updated on September 23, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.