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Active NPI 1144652546 Individual Practitioner Male Practitioner

Dr. Dylan A Keenberg , PsyD

Psychologist - Clinical • Bellingham, WA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Dylan Keenberg, PsyD is a registered healthcare professional specializing in Psychologist - Clinical in Bellingham, WA. Official NPI practice address is registered at 1106 HARRIS AVE STE 302.

Practice Location & Contact Primary Location

Practice Address

1106 Harris Ave Ste 302

Bellingham, WA 982257002

Telephone 3606700195

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Bellingham, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.8 Yrs
State Avg: 22.9 Yrs
Regional Practice Density
49 Specialists

Practicing in Bellingham, WA (1744 Statewide)

Telehealth Adoption Rate
12.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-05-22
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License WA PY60751686

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Tamara Harrison , MA, LMHCA, CMHS

Counselor - Mental Health

NPI 1407374010

Master of Arts, LMHCA, CMHS

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location May 22, 2020

Registered at 1106 HARRIS AVE STE 302, BELLINGHAM, WA 982257002 (Tel: 3606700195)

📍
Updated Business Mailing Address May 22, 2020

Registered at 1106 HARRIS AVE STE 302, BELLINGHAM, WA 982257002 (Tel: 3606700195)

📍
Updated Business Mailing Address March 27, 2020

Registered at 2605 W MAPLEWOOD AVE APT 314, BELLINGHAM, WA 982258824 (Tel: 6617060594)

👤
Provider Name / Credentials Updated March 27, 2020

Recorded as DYLAN KEENBERG, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2020

Psychologist (License #PY60751686 in WA)

NPI Profile Active August 07, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 07, 2013

Registered at 9808 VENICE BLVD, SUITE 700, CULVER CITY, CA 902322732 (Tel: 3109453350)

📍
Updated Business Mailing Address August 07, 2013

Registered at 9808 VENICE BLVD, SUITE 700, CULVER CITY, CA 902322732 (Tel: 3109453350)

👤
Provider Name / Credentials Updated August 07, 2013

Recorded as DYLAN KEENBERG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2013

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 07, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144652546
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2013
Last Update: May 22, 2020
Sole Proprietor: Yes

Mailing Address

1106 Harris Ave Ste 302

Bellingham, WA 982257002

Phone: 3606700195

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.