IndividualActive
Emily Gustafson, PH.D., NCSP
NPI 1730517988 · Clinical Child & Adolescent Psychologist · Port Townsend, WA
Provider details
- NPI number
- 1730517988
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D., NCSP
- Sex
- Female
- Sole proprietor
- No
- License
- PY60382123 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
213 Decatur St
Port Townsend, WA 98368-4623
Phone: (360) 302-0756
Street-level locationGet directions
Mailing address
821 Roosevelt St
Port Townsend, WA 98368-5422
Additional practice locations (1)
- 20174 Front St NePoulsbo, WA 98370-7445Phone: (360) 646-2543Fax: (360) 697-2395
Registry dates
- Enumerated
- 2013-10-25
- Last updated
- 2026-02-06
- Certified
- 2026-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.