Mr. Keith John Tanenbaum is a South Lake Tahoe, California based psychiatrist who is specialized in Psychiatry. Active license number of Mr. Keith John Tanenbaum is 107974 in California. His current practice location is 924 Emerald Bay Rd, First Floor, South Lake Tahoe. Patients can reach him at 530-782-9889. Mr. Keith John Tanenbaum is LCSW in Psychiatry and his NPI number (Unique professional ID assigned by NPPES) is 1477169605.
Mr. Keith John Tanenbaum specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Complete Profile:
Mr. Keith John Tanenbaum speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Keith John Tanenbaum |
| Specialization: | Psychiatry |
| Gender: | Male |
| Credentials: | LCSW |
| Practice Address: | 924 Emerald Bay Rd, First Floor, South Lake Tahoe,
California, 96150 |
| Phone: | 530-782-9889 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1477169605 |
| NPI Enumeration Date: | 22 Sep, 2020 |
| NPI Last Update On: | 05 Oct, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Keith John Tanenbaum are as mentioned below.
| License Number | Specialization | State | Status | |
| 107974 | | California | Primary | |
| 89589 | Counselor | California | Secondary | |
| 107074 | Hospice and Palliative Medicine | California | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Keith John Tanenbaum
1362 Us Highway 395 N Ste 102-27,
Gardnerville, Nevada |
| Zip: | 89410-7306 |
| Phone Number: | 530-782-9889 |
Patients can reach Mr. Keith John Tanenbaum at
924 Emerald Bay Rd, First Floor, South Lake Tahoe, California or can
call to book an appointment on 530-782-9889.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.