Dustin Kieschnick, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DUSTIN KIESCHNICK, PSYD

Practice address

497 Tahoe Keys Blvd Apt 35
South Lake Tahoe, CA 96150-3841

Phone

(910) 467-3217

NPI assigned

Jun 9, 2026

Organization subpart

No

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

Authorized official

Name

Dustin Kieschnick, PSYDNPI 1154090017

Title

Clinical Psychologist

Phone

(530) 208-5714

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dustin Kieschnick, PSYD

  • Clinical Psychologist
  • South Lake Tahoe, CA
  • NPI 1154090017
  NPD Authorized official

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

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1932033677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 TAHOE KEYS BLVD APT 35",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961503841",
            "telephone_number": "910-467-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 TAHOE KEYS BLVD APT 35",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961503841",
            "telephone_number": "910-467-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUSTIN KIESCHNICK, PSYD",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "KIESCHNICK",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "530-208-5714",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.