CHARLENE BLANCHARD KALLUSCH PSY.D
NPI 1538359179
Psychologist in Bainbridge Island, WA

Active since July 30, 2007PECOS EnrolledAccepts Medicare Assignment
1344 WINTERGREEN LN NE, BAINBRIDGE ISLAND, WA 98110(206) 842-5632 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 31, 2019, Jul 25, 2017 (2 updates tracked since 2017).

About Charlene Blanchard Kallusch Psy.d NPPES

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

CHARLENE BLANCHARD KALLUSCH PSY.D (NPI 1538359179) is an individual psychologist in Bainbridge Island, Washington, licensed in Washington (PY61400544) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1538359179
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameCHARLENE BLANCHARD KALLUSCHCredential: PSY.D
Location Address1344 WINTERGREEN LN NEBainbridge Island, WA 98110-5147
Mailing AddressPo Box 741515Los Angeles, CA 90074-1515 · (206) 515-5811
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 30, 2007
Last NPPES UpdateSeptember 28, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2023
NPI 1538359179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WA · PY61400544
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY24134 (CA)
1344 WINTERGREEN LN NE, Bainbridge Island, WA 98110

Other Identifiers 1

Other01CRCA · Medi-cal

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Charlene Blanchard Kallusch Psy.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890923601
PECOS Enrollment IDI20230918000288
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
218 services68 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
65 services64 patients
Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
48 services17 patients

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
1344 WINTERGREEN LN NE
BAINBRIDGE ISLAND, WA 98110
Nurse Practitioner (Primary Care)
1344 WINTERGREEN LN NE
BAINBRIDGE ISLAND, WA 98110
Podiatrist (Sports Medicine)
1344 WINTERGREEN LN NE
BAINBRIDGE ISLAND, WA 98110
Family Medicine
1344 WINTERGREEN LN NE
BAINBRIDGE ISLAND, WA 98110
Physician Assistant (Medical)
1344 WINTERGREEN LN NE
BAINBRIDGE ISLAND, WA 98110
Physical Therapist
1344 WINTERGREEN LN NE
BAINBRIDGE ISLAND, WA 98110
Nurse Practitioner
1344 WINTERGREEN LN NE
BAINBRIDGE ISLAND, WA 98110
Durable Medical Equipment & Medical Supplies
1344 WINTERGREEN LN NE
BAINBRIDGE ISLAND, WA 98110

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 Charlene Kallusch's NPI number?

The NPI number for Charlene Kallusch is 1538359179. It was assigned to this individual provider in the NPPES registry on July 30, 2007.

Where is Charlene Kallusch located?

Charlene Kallusch practices at 1344 Wintergreen Ln NE, Bainbridge Island, WA 98110. The listed phone number is (206) 842-5632.

What is Charlene Kallusch's specialty?

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

Is Charlene Kallusch enrolled in Medicare?

Yes. Charlene Kallusch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Charlene Kallusch accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Charlene Kallusch 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 Charlene Kallusch was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.