MR. JOHN SUTTON-GAMACHE PH.D.
NPI 1467501734
Psychologist - Clinical in Issaquah, WA

Q: What is John Sutton-gamache's NPI number?

The NPI number for John Sutton-gamache is 1467501734. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Q: What is John Sutton-gamache's specialty?

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

Q: Is John Sutton-gamache enrolled in Medicare?

No. John Sutton-gamache 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. The provider remains eligible to order and refer services for Medicare patients.

Active since January 09, 2007Opted out of Medicare · through Apr 1, 2027

5837 221ST PL SE, ISSAQUAH, WA 98027(425) 391-0887(425) 391-7014 Get Directions Write a Review

NPPES record last updated: May 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. John Sutton-gamache Ph.d. NPPES

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

MR. JOHN SUTTON-GAMACHE PH.D. (NPI 1467501734) is an individual clinical provider in Issaquah, Washington, licensed in Washington (PY0001271) and active in the NPI registry since January 2007. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1467501734

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMR. JOHN SUTTON-GAMACHECredential: PH.D.

Location Address5837 221ST PL SEIssaquah, WA 98027-8917

Mailing Address5837 221st Pl SeIssaquah, WA 98027-8917 · (425) 391-0887 · Fax (425) 391-7014

Phone(425) 391-0887

Fax(425) 391-7014

Sole ProprietorYes

Enumeration DateJanuary 9, 2007

Last NPPES UpdateMay 10, 2008

✔ NPI 1467501734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in WA · PY0001271✔ Licensed in AK · AA02881

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.

5837 221ST PL SE, Issaquah, WA 98027

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Other Identifiers 3

MedicaidPS02881AK

Medicare UPINR14808AK

Medicare PIN150724AK

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

Mr. John Sutton-gamache 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, 2017 through April 1, 2027.

Opt-Out Effective DateApril 1, 2017

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 98027 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 8

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

MITSUKO POLLARD PH.D.

Psychologist (Clinical)