DR. THOMAS DEANTONIO PH.D.
NPI 1194845198
Psychologist in Hailey, ID

Active since March 31, 2007Opted out of Medicare · through Jan 1, 2027
1361 BLUFF DR, HAILEY, ID 83333(818) 399-7384 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas Deantonio Ph.d. NPPES

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

DR. THOMAS DEANTONIO PH.D. (NPI 1194845198) is an individual psychologist in Hailey, Idaho, licensed in California (PSY14726) and active in the NPI registry since March 2007. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1194845198
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. THOMAS DEANTONIOCredential: PH.D.
Location Address1361 BLUFF DRHailey, ID 83333-8895
Mailing Address820 S Main St Unit 3671Hailey, ID 83333-6339 · (818) 399-7384
Sole ProprietorYes
Enumeration DateMarch 31, 2007
Last NPPES UpdateNovember 2, 2022
NPPES CertifiedNovember 2, 2022
NPI 1194845198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY14726
Definition
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.
1361 BLUFF DR, Hailey, ID 83333

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. Thomas Deantonio 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 January 1, 2017 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2017
Opt-Out In Effect ThroughJanuary 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.

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 Thomas Deantonio's NPI number?

The NPI number for Thomas Deantonio is 1194845198. It was assigned to this individual provider in the NPPES registry on March 31, 2007.

Where is Thomas Deantonio located?

Thomas Deantonio practices at 1361 Bluff Dr, Hailey, ID 83333. The listed phone number is (818) 399-7384.

What is Thomas Deantonio's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Thomas Deantonio enrolled in Medicare?

No. Thomas Deantonio has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Thomas Deantonio was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.