DR. KYLE AHLF PSYD
NPI 1902104912
Psychologist - Clinical in Bend, OR

Q: What is Kyle Ahlf's NPI number?

The NPI number for Kyle Ahlf is 1902104912. It was assigned to this individual provider in the NPPES registry on March 1, 2011.

Q: What is Kyle Ahlf's specialty?

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

Q: Is Kyle Ahlf enrolled in Medicare?

No. Kyle Ahlf has opted out of Medicare through June 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kyle Ahlf was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 01, 2011Opted out of Medicare · through Jun 18, 2028

516 SW 13TH ST STE 201, BEND, OR 97702(541) 640-3031(541) 550-1495 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Kyle Ahlf Psyd NPPES

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

DR. KYLE AHLF PSYD (NPI 1902104912) is an individual clinical provider in Bend, Oregon, licensed in Oregon (3014) and active in the NPI registry since March 2011. He has opted out of Medicare through June 18, 2028.

NPPES Registry Identity

NPI1902104912

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KYLE AHLFCredential: PSYD

Location Address516 SW 13TH ST STE 201Bend, OR 97702-3442

Mailing Address516 Sw 13th St Ste 201Bend, OR 97702-3442 · (541) 640-3031 · Fax (541) 550-1495

Phone(541) 640-3031

Fax(541) 550-1495

Sole ProprietorNo

Enumeration DateMarch 1, 2011

Last NPPES UpdateJune 18, 2024

NPPES CertifiedJune 18, 2024

✔ NPI 1902104912 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 OR · 3014

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.

516 SW 13TH ST STE 201, Bend, OR 97702

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Regence BlueCross BlueShield of Oregon.Insurance ›

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. Kyle Ahlf 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 June 18, 2024 through June 18, 2028.

Opt-Out Effective DateJune 18, 2024

Opt-Out In Effect ThroughJune 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

PEAK WELLNESS SERVICES

Psychologist (Clinical)