DR. KEITH A. YOUNGBLOOD (PSY.D.) – Clinical Neuropsychologist, NPI 1962526517

DR. KEITH A. YOUNGBLOOD (PSY.D.) is a healthcare provider. based in Anchorage, Alaska. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 461 (AK). The NPI Number for DR. KEITH A. YOUNGBLOOD (PSY.D.) is 1962526517

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEITH A. YOUNGBLOOD (PSY.D.)
NPI
1962526517
Phone
(907) 301-2992
Address
7331 CLAIRBORNE DR
Enumeration Date
19 March 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9075656000
Graduation Year
1992 (34 years ago)
PAC ID
8426173535
Group Practice PAC ID
2163512328
Professional Enrollment ID
I20100913001182
Address ID
AK995152010AN1100XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

75 CLINICAL PSYCHOLOGIST in AK

Provider Addresses for DR. KEITH A. YOUNGBLOOD (PSY.D.)

  • 7331 CLAIRBORNE DR

    ANCHORAGE, AK 995027119

    Phone: (907) 301-2992

    Fax: (907) 222-5254

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100913001182IClinical PsychologistAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96137Administration of psychological or neuropsychological test, each additional 30 minutes12717$0
96133Evaluation of neuropsychological test, each additional hour8217$0
96132Evaluation of neuropsychological test, first hour2918$0
96116Exam of neurobehavioral status, first hour1717$0
96136Administration of psychological or neuropsychological test, first 30 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 99502)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163512328View full group profile
NameSpecialtyState
N E U R O L O G YND
N E U R O L O G YMT
Clinical PsychologistNY
Neurology, Sleep MedicineAK
A N E S T H E S I O L O G YAK
Nurse PractitionerAK

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. KEITH A. YOUNGBLOOD (PSY.D.)?
DR. KEITH A. YOUNGBLOOD (PSY.D.) — NPI 1962526517 — is the standard way to identify this listing.
Can I rely on DR. KEITH A. YOUNGBLOOD (PSY.D.) being an active provider?
As of the registry snapshot, DR. KEITH A. YOUNGBLOOD (PSY.D.) is marked active.
What is DR. KEITH A. YOUNGBLOOD (PSY.D.) best known for clinically?
Directory data describes DR. KEITH A. YOUNGBLOOD (PSY.D.) with Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
Where is DR. KEITH A. YOUNGBLOOD (PSY.D.) based?
DR. KEITH A. YOUNGBLOOD (PSY.D.) is tied to Anchorage, Alaska in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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