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MR. ROBERT CARL KETCHUM CATC1
NPI 1487025136
Counselor - Addiction (Substance Use Disorder) in San Jacinto, CA

Active since October 07, 2015
1370 S STATE ST STE A, SAN JACINTO, CA 92583(951) 791-3350(951) 791-3353 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2024, Apr 7, 2019, Aug 21, 2016 (3 updates tracked since 2016).

About Mr. Robert Carl Ketchum Catc1 NPPES

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

MR. ROBERT CARL KETCHUM CATC1 (NPI 1487025136) is an individual addiction (substance use disorder) provider in San Jacinto, California, licensed in California (C054940518) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1487025136
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. ROBERT CARL KETCHUMCredential: CATC1
Location Address1370 S STATE ST STE ASan Jacinto, CA 92583-4922
Mailing Address1370 S State St Ste ASan Jacinto, CA 92583-4922 · (951) 791-3350 · Fax (951) 791-3353
Phone(951) 791-3350
Fax(951) 791-3353
Sole ProprietorNo
Enumeration DateOctober 7, 2015
Last NPPES UpdateApril 16, 20243 updates tracked since enumeration
NPPES CertifiedApril 14, 2024
✔ NPI 1487025136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in CA · C054940518✔ Licensed in CA · K1208311033
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License C054940518 (CA)
1370 S STATE ST STE A, San Jacinto, CA 92583
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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.

EULAH JOHANNA DE OCAMPO FILIO
Social Worker (Clinical)
1370 S STATE ST STE A
SAN JACINTO, CA 92583
Riverside County (951) 791-3330
KATIE LEA FRANKEN CAS
Counselor (Addiction (Substance Use Disorder))
1370 S STATE ST STE A
SAN JACINTO, CA 92583
Riverside County (951) 791-3781
MS. CHRISTINE ANN MC MILLAN
Counselor (Addiction (Substance Use Disorder))
1370 S STATE ST STE A
SAN JACINTO, CA 92583
Riverside County (951) 791-3350
LILIANA TRUJILLO
Case Management
1370 S STATE ST STE A
SAN JACINTO, CA 92583
Riverside County (951) 791-3330
COUNTY OF RIVERSIDE
Community/Behavioral Health
1370 S STATE ST STE A
SAN JACINTO, CA 92583
Riverside County (951) 791-3350
STEVE DESEAN ROSS
Peer Specialist
1370 S STATE ST STE A
SAN JACINTO, CA 92583
Riverside County (951) 791-3330
ANGELA FRANCISCA SOLORZANO
Case Management
1370 S STATE ST STE A
SAN JACINTO, CA 92583
Riverside County (951) 791-3330
ERICA WOOD
Counselor (Addiction (Substance Use Disorder))
1370 S STATE ST STE A
SAN JACINTO, CA 92583
Riverside County (951) 791-3350

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 Robert Ketchum's NPI number?

The NPI number for Robert Ketchum is 1487025136. It was assigned to this individual provider in the NPPES registry on October 7, 2015.

Where is Robert Ketchum located?

Robert Ketchum practices at 1370 S State St Ste A, San Jacinto, CA 92583. The listed phone number is (951) 791-3350.

What is Robert Ketchum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Robert Ketchum was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.