KEITH WALTER EBLE (PHD) – Psychologist, NPI 1558449934

KEITH WALTER EBLE (PHD) is a healthcare provider. based in Vero beach, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. PY 5825 (FL). The NPI Number for KEITH WALTER EBLE (PHD) is 1558449934

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
KEITH WALTER EBLE (PHD)
NPI
1558449934
Phone
(772) 205-9691
Address
1385 26TH CT SW
Enumeration Date
1 November 2006
Last Update Date
25 August 2024

Doctor Profile

Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7722059691
Graduation Year
1983 (43 years ago)
PAC ID
6800832916
Professional Enrollment ID
I20070312000007
Address ID
FL329620700VE1385XSWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for KEITH WALTER EBLE (PHD)

  • 1385 26TH CT SW

    VERO BEACH, FL 329626041

    Phone: (772) 205-9691

    Type: Mailing

  • Professional Advisory Services, Inc., 2770, Indian River Boulevard, Vero Beach, Indian River County, Florida, 32960, United States

    325

    VERO BEACH, FL 329604299

    Phone: (772) 778-2613

    Type: Mailing

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: 2007-03-12

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
I20070312000007IClinical PsychologistFLTBD

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
90834Psychotherapy, 45 minutes16320$0
View full utilization report →

Insurance plans in this area (ZIP 32962)

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Reviews

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Frequently asked questions

Can I verify KEITH WALTER EBLE (PHD) with an NPI only?
You can start verification with NPI 1558449934 for KEITH WALTER EBLE (PHD), then check state licensing separately.
Does CMS list KEITH WALTER EBLE (PHD) as active?
Yes — KEITH WALTER EBLE (PHD) is active in the NPI listing used on this page.
What is KEITH WALTER EBLE (PHD)'s specialty?
The listing groups KEITH WALTER EBLE (PHD) with Psychologist. Clinical services aligned with this taxonomy classification.
What area does KEITH WALTER EBLE (PHD) serve?
KEITH WALTER EBLE (PHD)'s listing highlights Vero Beach, Florida; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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