Individual provider Active NPI

Frances Kristine Ketz, PHD

  • Psychologist
  • Little Rock, AR
National Provider Identifier
1043299332
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
07-20P Issued in AR
Practice address
108 N Shackleford Rd
Little Rock, AR 72211-2840
Phone
(501) 346-8116
NPI assigned
Jan 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 07-20P AR Primary

Addresses

Primary practice location

108 N Shackleford Rd
Little Rock, AR 72211-2840

Mailing address

108 N Shackleford Rd
Little Rock, AR 72211-2840
Phone (501) 346-8116

Other identifiers 2

IdentifierTypeStateIssuer
7122336MedicaidWA
0178479OtherWAL & I

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MS, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20071204000412 AR Practitioner - Clinical Psychologist 2163414806 Reassigns benefits to 2 organizations
I20230208000261 MS Practitioner - Clinical Psychologist 2163414806 Reassigns benefits to 1 organization
I20241107003376 TX Practitioner - Clinical Psychologist 2163414806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain Treatment Centers of America PLLCGroup PAC ID 2769608819, 73 clinicians
White River Health System, Inc.Group PAC ID 0143134270, 190 clinicians

Practice addresses (Care Compare)

108 N Shackeford Rd
Little Rock, AR 72211-2840

1907 Lisa Dr Ext
Greenville, MS 38703-4429
Phone (501) 712-2571

2230 Harrison St
Batesville, AR 72501-7417
Phone (870) 698-2100

5950 Summerhill Rd
Texarkana, TX 75503-1639
Phone (844) 215-0731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
White River Health System, Inc. CurrentSince Aug 14, 2007 Accepting new patients
Pain Treatment Centers of America, PLLC CurrentSince Sep 1, 2021 Accepting new patients
Pain Treatment Centers of America PLLC CurrentSince Sep 1, 2021 Accepting new patients
White River Health System, Inc. Psychologist CurrentSince Aug 14, 2007 Accepting new patients
Pain Treatment Centers of America PLLC Past Accepting new patients
Northwest Neurobehavioral Institute Past Accepting new patients
Kristi Ketz, PH.D., P.S. Psychologist PastSince Jun 13, 2006 Accepting new patients

Locations

2230 Harrison St
Batesville, AR 72501
Phone (870) 698-2100

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

1215 Sidney St
Ste 202
Batesville, AR 72501
Phone (870) 262-2000

1215 Sidney St
Batesville, AR 72501
Phone (870) 262-1541

108 N Shackleford Rd
Little Rock, AR 72211
Phone (501) 346-8116

4020 Richards Rd
Ste A
North Little Rock, AR 72117
Phone (501) 900-8763

118 Central Ave
Searcy, AR 72143
Phone (501) 305-3305

1600 S Colorado St
Greenville, MS 38703
Phone (662) 336-1268

1907 Lisa Drive Ext
Greenville, MS 38703
Phone (662) 334-2929

Interoperability endpoints

  • Direct secure messaging: frances.ketz.1@13831.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1043299332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N SHACKLEFORD RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112840",
            "telephone_number": "501-346-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N SHACKLEFORD RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112840",
            "telephone_number": "501-346-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETZ",
        "first_name": "FRANCES",
        "middle_name": "KRISTINE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AR",
            "license": "07-20P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7122336",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0178479",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.