DR. KYLE DONALD DENNISON PSYD
NPI 1790155968
Psychologist in Tacoma, WA

Active since October 01, 2015PECOS EnrolledAccepts Medicare Assignment
4301 S PINE ST STE 301, TACOMA, WA 98409(800) 287-2680(253) 476-6547 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 30, 2025, Jun 17, 2024, Aug 24, 2023 and 4 more (7 updates tracked since 2015).

About Dr. Kyle Donald Dennison Psyd NPPES

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

DR. KYLE DONALD DENNISON PSYD (NPI 1790155968) is an individual psychologist in Tacoma, Washington, licensed in Washington (PY61444148) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1790155968
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. KYLE DONALD DENNISONCredential: PSYD
Location Address4301 S PINE ST STE 301Tacoma, WA 98409-7206
Mailing Address4301 S Pine St Ste 301Tacoma, WA 98409-7206 · (800) 287-2680 · Fax (253) 476-6547
Fax(253) 476-6547
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 1, 2015
Last NPPES UpdateMay 30, 20257 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
✔ NPI 1790155968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses✔ Licensed in WA · PY61444148✔ Licensed in KY · 276359
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
4301 S PINE ST STE 301, Tacoma, WA 98409

Secondary Practice Locations 4

Location 1230 Lexington Green Cir Ste 420Lexington, KY 40503-3337 · Phone (859) 287-0760
Location 22300 Barrington Rd Ste 105Hoffman Estates, IL 60169-2033 · Phone (847) 469-7537
Location 333930 Weyerhaeuser Way S Ste 220Federal Way, WA 98001-9772 · Phone (253) 752-7320
Location 4222 SE 8th Ave, 212Hillsboro, OR 97123-4218 · Phone (503) 352-2400 ext. 8060

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kyle Donald Dennison Psyd 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 ID4981049855
PECOS Enrollment IDI20240924000709
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kyle Dennison reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2715 NACHES AVE SW # GSWA1N02
Renton, WA 98057
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 clinicians in this Medicare group
Clinical
7507 NE 51ST ST
Vancouver, WA 98662
  • Reassigned Medicare billing, Washington enrollment
  • 225 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Speech-Language Pathologist
4301 S PINE ST STE 301
TACOMA, WA 98409
Nurse Practitioner
4301 S PINE ST STE 301
TACOMA, WA 98409
Social Worker (Clinical)
4301 S PINE ST STE 301
TACOMA, WA 98409
Psychiatry & Neurology (Psychiatry)
4301 S PINE ST STE 301
TACOMA, WA 98409
Social Worker
4301 S PINE ST STE 301
TACOMA, WA 98409
Nurse Practitioner (Psychiatric/Mental Health)
4301 S PINE ST STE 301
TACOMA, WA 98409
Nurse Practitioner (Psychiatric/Mental Health)
4301 S PINE ST STE 301
TACOMA, WA 98409
Psychiatry & Neurology (Psychiatry)
4301 S PINE ST STE 301
TACOMA, WA 98409

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 Kyle Dennison's NPI number?

The NPI number for Kyle Dennison is 1790155968. It was assigned to this individual provider in the NPPES registry on October 1, 2015.

Where is Kyle Dennison located?

Kyle Dennison practices at 4301 S Pine St Ste 301, Tacoma, WA 98409. The listed phone number is (800) 287-2680.

What is Kyle Dennison's specialty?

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

Is Kyle Dennison enrolled in Medicare?

Yes. Kyle Dennison 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.

Which organizations bill Medicare for Kyle Dennison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Dennison reassigns Medicare benefits to 2 organizations: Kaiser Foundation Health Plan Of Washington (Renton, WA) and Western Psychological And Counseling Services LLC (Vancouver, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Dennison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Dennison accept?

Health plans from Anthem Blue Cross and Blue Shield list Kyle Dennison 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 Kyle Dennison was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.