DR. ALYSSA MAE KENISTON
NPI 1689261984
Psychologist in Kalamazoo, MI

Active since December 22, 2020PECOS EnrolledAccepts Medicare Assignment
4328 W MICHIGAN AVE, KALAMAZOO, MI 49006(269) 375-2222 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Alyssa Mae Keniston NPPES

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

DR. ALYSSA MAE KENISTON (NPI 1689261984) is an individual psychologist in Kalamazoo, Michigan and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1689261984
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ALYSSA MAE KENISTON
Location Address4328 W MICHIGAN AVEKalamazoo, MI 49006-5823
Mailing Address6809 Amberly StPortage, MI 49024-3108 · (541) 821-1943
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 22, 2020
NPPES CertifiedDecember 22, 2020
NPI 1689261984 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.

4328 W MICHIGAN AVE, Kalamazoo, MI 49006

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 and accepts Medicare assignment

Dr. Alyssa Mae Keniston is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880062363
PECOS Enrollment IDI20221115002438
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 13

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

Psychologist (Clinical)
4328 W MICHIGAN AVE
KALAMAZOO, MI 49006
Psychologist
4328 W MICHIGAN AVE
KALAMAZOO, MI 49006
Psychologist
4328 W MICHIGAN AVE
KALAMAZOO, MI 49006
Psychologist
4328 W MICHIGAN AVE
KALAMAZOO, MI 49006
Psychologist
4328 W MICHIGAN AVE
KALAMAZOO, MI 49006
Clinical Neuropsychologist
4328 W MICHIGAN AVE
KALAMAZOO, MI 49006
Behavior Analyst
4328 W MICHIGAN AVE
KALAMAZOO, MI 49006
Psychologist (Clinical)
4328 W MICHIGAN AVE
KALAMAZOO, MI 49006

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 Alyssa Keniston's NPI number?

The NPI number for Alyssa Keniston is 1689261984. It was assigned to this individual provider in the NPPES registry on December 22, 2020.

Where is Alyssa Keniston located?

Alyssa Keniston practices at 4328 W Michigan Ave, Kalamazoo, MI 49006. The listed phone number is (269) 375-2222.

What is Alyssa Keniston's specialty?

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

Is Alyssa Keniston enrolled in Medicare?

Yes. Alyssa Keniston is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alyssa Keniston accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and UnitedHealthcare list Alyssa Keniston 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 Alyssa Keniston was last updated on December 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.