MR. ERIC STEPHEN JANNAZZO PH.D
NPI 1346579174
Psychologist in Tacoma, WA

Active since December 07, 2009Opted out of Medicare · through Apr 1, 2028
5909 ORCHARD ST W, TACOMA, WA 98467(253) 475-6021(253) 472-1296 Get Directions Write a Review

NPPES record last updated: December 7, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Eric Stephen Jannazzo Ph.d NPPES

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

MR. ERIC STEPHEN JANNAZZO PH.D (NPI 1346579174) is an individual psychologist in Tacoma, Washington, licensed in Washington (PY 60107811) and active in the NPI registry since December 2009. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1346579174
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMR. ERIC STEPHEN JANNAZZOCredential: PH.D
Location Address5909 ORCHARD ST WTacoma, WA 98467-3824
Mailing Address5909 Orchard St WTacoma, WA 98467-3824 · (253) 475-6021 · Fax (253) 472-1296
Fax(253) 472-1296
Sole ProprietorYes
Enumeration DateDecember 7, 2009
NPI 1346579174 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 WA · PY 60107811
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.
5909 ORCHARD ST W, Tacoma, WA 98467

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mr. Eric Stephen Jannazzo 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, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016
Opt-Out In Effect ThroughApril 1, 2028Opt-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.

Other Providers at the Same Location NPPES 14

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

Marriage & Family Therapist
5909 ORCHARD ST W
TACOMA, WA 98467
Psychologist
5909 ORCHARD ST W
TACOMA, WA 98467
Psychologist
5909 ORCHARD ST W
TACOMA, WA 98467
Psychologist (Clinical)
5909 ORCHARD ST W
TACOMA, WA 98467
Social Worker (Clinical)
5909 ORCHARD ST W
TACOMA, WA 98467
Counselor (Mental Health)
5909 ORCHARD ST W
TACOMA, WA 98467
Psychiatry & Neurology (Psychiatry)
5909 ORCHARD ST W
UNIVERSITY PLACE, WA 98467
Nurse Practitioner (Psychiatric/Mental Health)
5909 ORCHARD ST W
TACOMA, WA 98467

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 Eric Jannazzo's NPI number?

The NPI number for Eric Jannazzo is 1346579174. It was assigned to this individual provider in the NPPES registry on December 7, 2009.

Where is Eric Jannazzo located?

Eric Jannazzo practices at 5909 Orchard St W, Tacoma, WA 98467. The listed phone number is (253) 475-6021.

What is Eric Jannazzo's specialty?

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

Is Eric Jannazzo enrolled in Medicare?

No. Eric Jannazzo has opted out of Medicare through April 1, 2028. 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 Eric Jannazzo was last updated on December 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.