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DR. DYLAN A KEENBERG PSYD
NPI 1144652546
Psychologist - Clinical in Bellingham, WA

Active since August 07, 2013Opted out of Medicare · through Jan 4, 2027
1106 HARRIS AVE STE 302, BELLINGHAM, WA 98225(360) 670-0195 Get Directions Write a Review

NPPES record last updated: May 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2020, Mar 27, 2020 (2 updates tracked since 2020).

About Dr. Dylan A Keenberg Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DYLAN A KEENBERG PSYD (NPI 1144652546) is an individual clinical provider in Bellingham, Washington, licensed in Washington (PY60751686) and active in the NPI registry since August 2013. He has opted out of Medicare through January 4, 2027.

NPPES Registry Identity

NPI1144652546
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DYLAN A KEENBERGCredential: PSYD
Location Address1106 HARRIS AVE STE 302Bellingham, WA 98225-7002
Mailing Address1106 Harris Ave Ste 302Bellingham, WA 98225-7002 · (360) 670-0195
Phone(360) 670-0195
Sole ProprietorYes
Enumeration DateAugust 7, 2013
Last NPPES UpdateMay 22, 20202 updates tracked since enumeration
NPPES CertifiedMay 22, 2020
✔ NPI 1144652546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WA · PY60751686
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1106 HARRIS AVE STE 302, Bellingham, WA 98225
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Dylan A Keenberg Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 4, 2021 through January 4, 2027.

Opt-Out Effective DateJanuary 4, 2021
Opt-Out In Effect ThroughJanuary 4, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMARA HARRISON MA, LMHCA, CMHS
Counselor (Mental Health)
1106 HARRIS AVE STE 302
BELLINGHAM, WA 98225
Whatcom County (360) 389-3703

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 Dylan Keenberg's NPI number?

The NPI number for Dylan Keenberg is 1144652546. It was assigned to this individual provider in the NPPES registry on August 7, 2013.

Where is Dylan Keenberg located?

Dylan Keenberg practices at 1106 Harris Ave Ste 302, Bellingham, WA 98225. The listed phone number is (360) 670-0195.

What is Dylan Keenberg's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Dylan Keenberg enrolled in Medicare?

No. Dylan Keenberg has opted out of Medicare through January 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Dylan Keenberg was last updated on May 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.