DR. KYLE DONALD DENNISON (PSYD) – Clinical Neuropsychologist, NPI 1790155968
Clinical Neuropsychologist
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Profile Insights
NPPES metrics only — not quality of care.
647 CLINICAL PSYCHOLOGIST in OR
Provider Addresses for DR. KYLE DONALD DENNISON (PSYD)
222 SE 8TH AVE
212
HILLSBORO, OR 971234218
Phone: (503) 352-2400
Type: Mailing
4301 S PINE ST STE 301
TACOMA, WA 984097206
Phone: (800) 287-2680
Fax: (253) 476-6547
Type: Mailing
2300 BARRINGTON RD STE 105
HOFFMAN ESTATES, IL 601692033
Phone: (847) 469-7537
Type: Mailing
230 Lexington Green Cir Ste 420
Lexington, KY 405033337
Phone: (859) 287-0760
Type: Location
33930 Weyerhaeuser Way S Ste 220
Federal Way, WA 980019772
Phone: (253) 752-7320
Type: Location
2300 Barrington Rd Ste 105
Hoffman Estates, IL 601692033
Phone: (847) 469-7537
Type: Location
222 SE 8th Ave
212
Hillsboro, OR 971234218
Phone: (503) 352-2400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2024-09-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240301000587 | I | Clinical Psychologist | KY | TBD |
| I20240924000709 | I | Clinical Psychologist | WA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97123)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| Family Practice | WA | |
| - | WA | |
| - | OH | |
| O P H T H A L M O L O G Y | WA | |
| Family Practice | WI | |
| Internal Medicine | OR | |
| Clinical Social Worker | WA | |
| - | WA |
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