Elisa Peterson, PSYD
NPI 1639602592ActiveIndividual· Psychologist, Counseling· Sammamish, WA
Psychologist, Counseling (PSYD) in Sammamish, Washington, licensed in WA, with an NPI issued in April 2017. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.
Overview
| NPI | 1639602592 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | Yes |
| NPI issued | Apr 7, 2017 |
| Last updated in NPPES | Apr 26, 2023 |
| Certified by provider | Apr 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | PY60711540 | WA |
Exclusion screening
Possible match: verify before acting. The OIG list has a record with the same name in Washington, but that record carries no NPI, so it may be a different person or business.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| Name + state | Elisa Deaine Peterson · Nurse/Nurses Aide | 1128a2 | Oct 19, 2000 | Washougal, WA |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | Possible (name) | See above |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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