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RANDY L. KETTERING PHD, PC
NPI 1194937359
Psychologist - Clinical in Evanston, IL

Active since May 03, 2007
807 DAVIS ST UNIT 605, EVANSTON, IL 60201(847) 934-8475 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Randy L. Kettering Phd, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDY L. KETTERING PHD, PC (NPI 1194937359) is a healthcare organization registered as a clinical in Evanston, Illinois and active in the NPI registry since May 2007. The organization lists Randy Lee Kettering, President, as its authorized official.

NPPES Registry Identity

NPI1194937359
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameRANDY L. KETTERING PHD, PC
Location Address807 DAVIS ST UNIT 605Evanston, IL 60201-4820
Mailing Address807 Davis St Unit 605Evanston, IL 60201-4820 · (847) 934-8475
Phone(847) 934-8475
Organization SubpartNo
Authorized OfficialRandy Lee KetteringPresident · (847) 934-8475
Enumeration DateMay 3, 2007
Last NPPES UpdateOctober 6, 2022
NPPES CertifiedOctober 6, 2022
✔ NPI 1194937359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 060004613
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
807 DAVIS ST UNIT 605, Evanston, IL 60201
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randy L. Kettering Phd, PC's NPI number?

The NPI number for Randy L. Kettering Phd, PC is 1194937359. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Randy L. Kettering Phd, PC located?

Randy L. Kettering Phd, PC is located at 807 Davis St Unit 605, Evanston, IL 60201. The listed phone number is (847) 934-8475.

What is Randy L. Kettering Phd, PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Randy L. Kettering Phd, PC was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.