Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charlene Blanchard Kallusch, PSYD

Individual provider Clinical Psychologist · NPI 1538359179

Charlene Blanchard Kallusch, PSYD is a Clinical Psychologist in Bainbridge Island, Washington. Qualified in 2007, 19 years ago. Practices with Virginia Mason Medical Center, a 867-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Washington.

Years since qualifying
19
Licensed in
CA, WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1344 Wintergreen Ln NE
Bainbridge Island, WA 98110-5147
Phone: (206) 842-5632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2198 6th St, Berkeley, CA 94710-2233 — (510) 848-1112
  • 222 W 39th Ave, San Mateo, CA 94403-4364 — (650) 372-3291

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY61400544 (WA)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY24134 (CA)

Record details

NPI number1538359179
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJuly 30, 2007
Last updated in NPPESSeptember 28, 2023
Certification dateSeptember 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Virginia Mason Medical Center — 867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Bainbridge Island