KAITLIN MARIE KETCHAM
NPI 1609376607
Behavior Analyst in Plymouth, MA

Q: What is Kaitlin Ketcham's NPI number?

The NPI number for Kaitlin Ketcham is 1609376607. It was assigned to this individual provider in the NPPES registry on February 15, 2018.

Q: What is Kaitlin Ketcham's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlin Ketcham was last updated on February 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since February 15, 2018PECOS EnrolledAccepts Medicare Assignment

50 ALDRIN RD, PLYMOUTH, MA 02360(617) 848-9091 Get Directions Write a Review

NPPES record last updated: February 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kaitlin Marie Ketcham NPPES

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

KAITLIN MARIE KETCHAM (NPI 1609376607) is an individual behavior analyst provider in Plymouth, Massachusetts and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1609376607

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameKAITLIN MARIE KETCHAM

Location Address50 ALDRIN RDPlymouth, MA 02360-4827

Mailing Address1935 Blue Rock Dr Apt 301Tampa, FL 33612-5196 · (339) 832-7716

Phone(617) 848-9091

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 15, 2018

✔ NPI 1609376607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

50 ALDRIN RD, Plymouth, MA 02360

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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

Kaitlin Marie Ketcham 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 ID3072048446

PECOS Enrollment IDI20250917000811

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.

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.

KARY ATWOOD

Counselor (Mental Health)

50 ALDRIN RD
PLYMOUTH, MA 02360

Plymouth County (508) 317-2087

MISS MEGAN HUSSEY

Counselor

50 ALDRIN RD
PLYMOUTH, MA 02360

Plymouth County (508) 830-0000

MS. KATHLEEN BONNIE BARRETT APRN BC

Registered Nurse

50 ALDRIN RD, SOUTH BAY MENTAL HEALTH
PLYMOUTH, MA 02360

Plymouth County (508) 830-0004

MRS. JULIA GORDON

Social Worker (Clinical)

50 ALDRIN RD
PLYMOUTH, MA 02360

Plymouth County (508) 830-0000

CAITLIN MACDONALD

Counselor (Mental Health)

50 ALDRIN RD
PLYMOUTH, MA 02360

Plymouth County (508) 830-0000

MS. SUSAN JOHNSTON BISIGNANO MSW

Social Worker (Clinical)

50 ALDRIN RD
PLYMOUTH, MA 02360

Plymouth County (508) 830-0000

PATRICIA ANNE SNELL

Counselor (Mental Health)

50 ALDRIN RD
PLYMOUTH, MA 02360

Plymouth County (508) 830-0004

NASHLEY IVETTE NIEVES

Psychologist (Group Psychotherapy)

50 ALDRIN RD
PLYMOUTH, MA 02360

Plymouth County (508) 830-0000

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 Kaitlin Ketcham's NPI number?

The NPI number for Kaitlin Ketcham is 1609376607. It was assigned to this individual provider in the NPPES registry on February 15, 2018.

Where is Kaitlin Ketcham located?

Kaitlin Ketcham practices at 50 Aldrin Rd, Plymouth, MA 02360. The listed phone number is (617) 848-9091.

What is Kaitlin Ketcham's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Is Kaitlin Ketcham enrolled in Medicare?

Yes. Kaitlin Ketcham 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.

When was this NPI record last updated?

The NPPES record for Kaitlin Ketcham was last updated on February 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.