Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. KEARA JAE KANGAS PHD
NPI 1376469353
Clinical Neuropsychologist in Brown Deer, WI

Q: What is Keara Kangas's NPI number?

The NPI number for Keara Kangas is 1376469353. It was assigned to this individual provider in the NPPES registry on June 25, 2026.

Q: What is Keara Kangas's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Keara Kangas was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since June 25, 2026PECOS Enrolled

8038 N 65TH ST, BROWN DEER, WI 53223(906) 361-6922 Get Directions Write a Review

NPPES record added: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Keara Jae Kangas Phd NPPES

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

DR. KEARA JAE KANGAS PHD (NPI 1376469353) is an individual clinical neuropsychologist in Brown Deer, Wisconsin, licensed in Michigan (6301019775) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376469353

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. KEARA JAE KANGASCredential: PHD

Location Address8038 N 65TH STBrown Deer, WI 53223-3409

Mailing Address8038 N 65th StBrown Deer, WI 53223-3409 · (906) 361-6922

Phone(906) 361-6922

Sole ProprietorNo

Enumeration DateJune 25, 2026

NPPES CertifiedJune 25, 2026

✔ NPI 1376469353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in MI · 6301019775

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

8038 N 65TH ST, Brown Deer, WI 53223

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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. Keara Jae Kangas Phd 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.

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 Keara Kangas's NPI number?

The NPI number for Keara Kangas is 1376469353. It was assigned to this individual provider in the NPPES registry on June 25, 2026.

Where is Keara Kangas located?

Keara Kangas practices at 8038 N 65th St, Brown Deer, WI 53223. The listed phone number is (906) 361-6922.

What is Keara Kangas's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Keara Kangas enrolled in Medicare?

Yes. Keara Kangas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keara Kangas was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.