Keenan Tamm, PSYD, NCSP

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

5450 YMCA Rd Ste 102
Naples, FL 34109-5944

Phone

(239) 658-3000

NPI assigned

Apr 10, 2021

Last updated

Oct 21, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keenan.tamm.1@10865.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Collier Health Services Inc

  dba Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1609827211
  Medicare reassignment NPD
• Collier Health Services, Inc

  dba Healthcare Network FHC Pharmacy

  • Community/Retail Pharmacy
  • Naples, FL
  • NPI 1609759091
  NPD
• Collier Health Services Inc

  dba Healthcare Network

  • General Practice Physician
  • Immokalee, FL
  • NPI 1053526962
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • General Practice Physician
  • Immokalee, FL
  • NPI 1083421556
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1134331416
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • General Practice Physician
  • Naples, FL
  • NPI 1134334048
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1194919993
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1235946716
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • General Practice Physician
  • Immokalee, FL
  • NPI 1376738690
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • General Practice Physician
  • Naples, FL
  • NPI 1417774332
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • General Practice Physician
  • Naples, FL
  • NPI 1477229755
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1508079245
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1174103568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 MADISON AVE W",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341422200",
            "telephone_number": "239-658-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 YMCA RD STE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341095944",
            "telephone_number": "239-658-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMM",
        "first_name": "KEENAN",
        "name_prefix": "Dr.",
        "credential": "PSYD, NCSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-10",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.questpsych.org",
            "affiliation": "N",
            "endpointDescription": "business webpage",
            "address_1": "1120 First Colonial Rd Ste 202",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234542418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samantha Leigh Talley, CF-SLP
• Tamara K Robison DDS PA
• Janeth Tamara, MS, LMHC
• Arais Tamayo Ricardo
• Tamiami Dental Care PLLC
• Suzana Tanimoto, PA-C
• Michael Tanner, P.A.
• Susan Yvonne Tant
• Tanya Neuhaus Horstendc PA
• Laura Tapia

• Psychologist in Naples, FL
• Providers in Naples, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.