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DR. EDWARD L DEATHERAGE PH.D.
NPI 1720141575
Psychologist - Clinical in Spokane, WA

Active since December 19, 2006PECOS EnrolledAccepts Medicare Assignment
5814 S THISTLE LN, SPOKANE, WA 99223(208) 651-0179(208) 651-0179 Get Directions Write a Review

NPPES record last updated: June 21, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Edward L Deatherage Ph.d. NPPES

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

DR. EDWARD L DEATHERAGE PH.D. (NPI 1720141575) is an individual clinical provider in Spokane, Washington, licensed in Washington (PY00000714) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1720141575
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. EDWARD L DEATHERAGECredential: PH.D.
Location Address5814 S THISTLE LNSpokane, WA 99223-1702
Mailing Address5814 S Thistle LnSpokane, WA 99223-1702 · (208) 651-0179 · Fax (208) 651-0179
Phone(208) 651-0179
Fax(208) 651-0179
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateDecember 19, 2006
Last NPPES UpdateJune 21, 2016
✔ NPI 1720141575 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 · PY00000714
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.
5814 S THISTLE LN, Spokane, WA 99223
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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

Dr. Edward L Deatherage Ph.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 ID1658569215
PECOS Enrollment IDI20101223000146
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

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, 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.
236 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99223 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
$172.80 typical visit price
range $57.27 – $172.80
Typical copayment $43.20 (range $14.31 – $43.20)
Most-billed visit code 99205
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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 Edward Deatherage's NPI number?

The NPI number for Edward Deatherage is 1720141575. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Edward Deatherage located?

Edward Deatherage practices at 5814 S Thistle Ln, Spokane, WA 99223. The listed phone number is (208) 651-0179.

What is Edward Deatherage's specialty?

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

Is Edward Deatherage enrolled in Medicare?

Yes. Edward Deatherage 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 Edward Deatherage accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Edward Deatherage 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 Edward Deatherage was last updated on June 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.