DR. KEENAN TAMM PSYD, NCSP
NPI 1174103568
Psychologist in Naples, FL

Active since April 10, 2021PECOS Enrolled
5450 YMCA RD STE 102, NAPLES, FL 34109(239) 658-3000 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 11, 2021, Apr 10, 2021 (2 updates tracked since 2021).

About Dr. Keenan Tamm Psyd, Ncsp NPPES

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

DR. KEENAN TAMM PSYD, NCSP (NPI 1174103568) is an individual psychologist in Naples, Florida and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174103568
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. KEENAN TAMMCredential: PSYD, NCSP
Location Address5450 YMCA RD STE 102Naples, FL 34109-5944
Mailing Address1454 Madison Ave WImmokalee, FL 34142-2200 · (239) 658-3707
Sole ProprietorYes
Enumeration DateApril 10, 2021
Last NPPES UpdateOctober 21, 20242 updates tracked since enumeration
NPPES CertifiedOctober 21, 2024
NPI 1174103568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

5450 YMCA RD STE 102, Naples, FL 34109

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Keenan Tamm Psyd, Ncsp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

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

Pediatrics
5450 YMCA RD STE 102
NAPLES, FL 34109
General Practice
5450 YMCA RD STE 102
NAPLES, FL 34109
Clinic/Center (Federally Qualified Health Center (FQHC))
5450 YMCA RD STE 102
NAPLES, FL 34109

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 Tamm's NPI number?

The NPI number for Keenan Tamm is 1174103568. It was assigned to this individual provider in the NPPES registry on April 10, 2021.

Where is Keenan Tamm located?

Keenan Tamm practices at 5450 Ymca Rd Ste 102, Naples, FL 34109. The listed phone number is (239) 658-3000.

What is Keenan Tamm's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Keenan Tamm enrolled in Medicare?

Yes. Keenan Tamm is registered in the Medicare PECOS enrollment system.

What insurance does Keenan Tamm accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Keenan Tamm as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keenan Tamm was last updated on October 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.