Charlene Blanchard Kallusch, PSY.D
NPI 1538359179ActiveIndividual· Psychologist· Bainbridge Island, WA
Psychologist (PSY.D) with Virginia Mason Medical Center, practicing in Bainbridge Island, Washington. Medicare paid $33,330 for services to 83 patients in 2024.
Overview
| NPI | 1538359179 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D |
| Sole proprietor | No |
| NPI issued | Jul 30, 2007 |
| Last updated in NPPES | Sep 28, 2023 |
| Certified by provider | Sep 28, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PY61400544 | WA |
| Psychologist, Clinical | 103TC0700X | PSY24134 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA); Practitioner - Clinical Psychologist (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 83 |
|---|---|
| Services billed | 367 across 7 procedure codes |
| Paid by Medicare | $33,330 |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Virginia Mason Medical CenterSeattle, WA · 867 clinicians
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