JESSICA KETTERER PH.D.
NPI 1457717639
Psychologist in Pembroke Pines, FL

Active since January 04, 2016PECOS EnrolledAccepts Medicare Assignment
603 N FLAMINGO RD, SUITE 151, PEMBROKE PINES, FL 33028(954) 265-4325(954) 443-4747 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 19, 2021, Aug 24, 2016 (2 updates tracked since 2016).

About Jessica Ketterer Ph.d. NPPES

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

JESSICA KETTERER PH.D. (NPI 1457717639) is an individual psychologist in Pembroke Pines, Florida, licensed in Florida (PY9462) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital West, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1457717639
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJESSICA KETTERERCredential: PH.D.
Location Address603 N FLAMINGO RD, SUITE 151Pembroke Pines, FL 33028-1023
Mailing Address2900 Corporate Way, Door DMiramar, FL 33025-3925 · (954) 276-5603 · Fax (954) 985-7074
Fax(954) 443-4747
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 4, 2016
Last NPPES UpdateMarch 19, 20212 updates tracked since enumeration
NPPES CertifiedMarch 19, 2021
NPI 1457717639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in FL · PY9462
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
603 N FLAMINGO RD, Pembroke Pines, FL 33028

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jessica Ketterer Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799083424
PECOS Enrollment IDI20160413002300
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
89 services17 patients
Treatment of behavior impacting health, initial 30 minutes 96158
This service involves a healthcare professional working with you for 30 minutes to address behaviors that are negatively affecting your health. They will help you understand and modify these behaviors, improving your overall well-being.
45 services16 patients
Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
38 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital West

Acute Care Hospitals · Pembroke Pines, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100281
Location703 N Flamingo RdPembroke Pines, FL 33028 · Broward County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
603 N FLAMINGO RD, SUITE 365
PEMBROKE PINES, FL 33028
Internal Medicine (Gastroenterology)
603 N FLAMINGO RD, SUITE 258
PEMBROKE PINES, FL 33028
Dermatology
603 N FLAMINGO RD, STE 350
PEMBROKE PINES, FL 33028
Obstetrics & Gynecology (Gynecologic Oncology)
603 N FLAMINGO RD, #261
PEMBROKE PINES, FL 33028
Ophthalmology
603 N FLAMINGO RD, SUITE 250
PEMBROKE PINES, FL 33028
Specialist
603 N FLAMINGO RD, SUITE 150
PEMBROKE PINES, FL 33028
Internal Medicine (Cardiovascular Disease)
603 N FLAMINGO RD, SUITE 358
PEMBROKE PINES, FL 33028
Internal Medicine (Cardiovascular Disease)
603 N FLAMINGO RD, SUITE 255
PEMBROKE PINES, FL 33028

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 Jessica Ketterer's NPI number?

The NPI number for Jessica Ketterer is 1457717639. It was assigned to this individual provider in the NPPES registry on January 4, 2016.

Where is Jessica Ketterer located?

Jessica Ketterer practices at 603 N Flamingo Rd Suite 151, Pembroke Pines, FL 33028. The listed phone number is (954) 265-4325.

What is Jessica Ketterer's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jessica Ketterer enrolled in Medicare?

Yes. Jessica Ketterer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jessica Ketterer accept?

Health plans from AmeriHealth Caritas Next, AvMed, Molina Healthcare and Oscar Health Maintenance Organization of Florida list Jessica Ketterer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jessica Ketterer affiliated with any hospitals?

According to CMS data, Jessica Ketterer is affiliated with Memorial Hospital West.

When was this NPI record last updated?

The NPPES record for Jessica Ketterer was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.