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SAMANTHA KETTLE PSY.D.
NPI 1679704472
Psychologist - Clinical in Sacramento, CA

Active since July 29, 2009PECOS Enrolled
1201 ALHAMBRA BLVD STE 340, SACRAMENTO, CA 95816(916) 731-7951 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Kettle Psy.d. NPPES

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

SAMANTHA KETTLE PSY.D. (NPI 1679704472) is an individual clinical provider in Sacramento, California, licensed in California (PSY29461) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679704472
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSAMANTHA KETTLECredential: PSY.D.
Location Address1201 ALHAMBRA BLVD STE 340Sacramento, CA 95816-5242
Mailing Address1201 Alhambra Blvd Ste 340Sacramento, CA 95816-5242 · (916) 731-7951
Phone(916) 731-7951
Sole ProprietorNo
Enumeration DateJuly 29, 2009
Last NPPES UpdateOctober 20, 2020
NPPES CertifiedOctober 20, 2020
✔ NPI 1679704472 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 CA · PSY29461
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.
1201 ALHAMBRA BLVD STE 340, Sacramento, CA 95816
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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 (PECOS)

Samantha Kettle Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95816 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$180.85 typical visit price
range $60.44 – $180.85
Typical copayment $45.21 (range $15.11 – $45.21)
Most-billed visit code 99205
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

SARAH SHU-CHYI LIU DO
Family Medicine
1201 ALHAMBRA BLVD STE 340
SACRAMENTO, CA 95816
Sacramento County (916) 731-7866
CAROLINE SIPIORA GOMES DO
Student in an Organized Health Care Education/Training Program
1201 ALHAMBRA BLVD STE 340
SACRAMENTO, CA 95816
Sacramento County (916) 731-7866
MARTHA STANBACH LCSW
Social Worker (Clinical)
1201 ALHAMBRA BLVD STE 340
SACRAMENTO, CA 95816
Sacramento County (916) 451-4400
JASPREET SINGH
Family Medicine
1201 ALHAMBRA BLVD STE 340
SACRAMENTO, CA 95816
Sacramento County (916) 731-7866
TAYLOR DUKE MD
Family Medicine
1201 ALHAMBRA BLVD STE 340
SACRAMENTO, CA 95816
Sacramento County (916) 731-7866
CHENXI SONG
Hospitalist
1201 ALHAMBRA BLVD STE 340
SACRAMENTO, CA 95816
Sacramento County (916) 731-7866
DR. ELIZABETH MICHELLE SCHAMBER M.D.
Family Medicine
1201 ALHAMBRA BLVD STE 340
SACRAMENTO, CA 95816
Sacramento County (916) 731-7919

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 Samantha Kettle's NPI number?

The NPI number for Samantha Kettle is 1679704472. It was assigned to this individual provider in the NPPES registry on July 29, 2009.

Where is Samantha Kettle located?

Samantha Kettle practices at 1201 Alhambra Blvd Ste 340, Sacramento, CA 95816. The listed phone number is (916) 731-7951.

What is Samantha Kettle's specialty?

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

Is Samantha Kettle enrolled in Medicare?

Yes. Samantha Kettle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Kettle was last updated on October 20, 2020. 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.