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CYNTHIA N KETTYLE M.D.
NPI 1730210675
Psychiatry & Neurology - Psychiatry in Needham, MA

Active since March 09, 2007Opted out of Medicare · through Jan 12, 2028
478 CHARLES RIVER ST, NEEDHAM, MA 02492(781) 449-3799 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cynthia N Kettyle M.d. NPPES

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

CYNTHIA N KETTYLE M.D. (NPI 1730210675) is an individual psychiatry provider in Needham, Massachusetts, licensed in Massachusetts (35695) and active in the NPI registry since March 2007. She has opted out of Medicare through January 12, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1730210675
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameCYNTHIA N KETTYLECredential: M.D.
Location Address478 CHARLES RIVER STNeedham, MA 02492-1003
Mailing Address478 Charles River StNeedham, MA 02492-1003 · (781) 449-3799
Phone(781) 449-3799
Sole ProprietorNo
Enumeration DateMarch 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1730210675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MA · 35695
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
478 CHARLES RIVER ST, Needham, MA 02492
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Cynthia N Kettyle M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 12, 2016 through January 12, 2028.

Opt-Out Effective DateJanuary 12, 2016
Opt-Out In Effect ThroughJanuary 12, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02492 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Cynthia Kettyle's NPI number?

The NPI number for Cynthia Kettyle is 1730210675. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Cynthia Kettyle located?

Cynthia Kettyle practices at 478 Charles River St, Needham, MA 02492. The listed phone number is (781) 449-3799.

What is Cynthia Kettyle's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Cynthia Kettyle enrolled in Medicare?

No. Cynthia Kettyle has opted out of Medicare through January 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Cynthia Kettyle was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.