Dylan Ray Athenour, MS
Individual provider Active NPI Addiction (Substance Use Disorder) Psychologist · Martinez, CA
NPI 1790035574 · NPPES record last updated Sep 1, 2026
Key facts
- NPI
- 1790035574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Psychologist 103TA0400X
- License
- PSY28710 (CA)
- Practice address
- 150 Muir Rd
Martinez, CA 94553-4668 - Phone
- (925) 372-2569
- NPI assigned
- Sep 19, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | PSY28710 | CA | Yes |
Addresses
Primary practice location
150 Muir Rd
Martinez, CA 94553-4668
Mailing address
150 Muir Rd
Martinez, CA 94553-4668
Phone (925) 372-2569
Other practice location 1
1600 E Olive St
Sound Mental Health
Seattle, WA 98122-2735
Phone (206) 302-2200
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All providers in Martinez, CA · Addiction (Substance Use Disorder) Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.