KEENAN BLAKE WITHERS
NPI 1093392615
Psychiatry & Neurology - Psychiatry in Los Angeles, CA
About Keenan Blake Withers NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEENAN BLAKE WITHERS (NPI 1093392615) is an individual psychiatry provider in Los Angeles, California, licensed in California (A193293) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Beverly Hills.
NPPES Registry Identity
Specialties & Licenses
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keenan Blake Withers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Keenan Withers's NPI number?
The NPI number for Keenan Withers is 1093392615. It was assigned to this individual provider in the NPPES registry on March 28, 2021.
Where is Keenan Withers located?
Keenan Withers practices at 5419 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (323) 769-6100.
What is Keenan Withers's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Keenan Withers enrolled in Medicare?
Yes. Keenan Withers is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Keenan Withers was last updated on February 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
