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

John A. Deninno, PHD

Individual provider Clinical Psychologist · NPI 1144370016

John A. Deninno, PHD is a Clinical Psychologist in Edmonds, Washington. Qualified in 1975, 51 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
51
Licensed in
WA
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

7500 212th St SW Ste 105A
Edmonds, WA 98026-7614
Phone: (206) 363-4205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY00000524 (WA)

Record details

NPI number1144370016
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 11, 2007
Last updated in NPPESDecember 10, 2016
Mailing address7500 212th St Sw, Ste 105a, Edmonds, WA 98026-7614

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1975 (51 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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