Kristi Ketz, PH.D., P.S.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY 2852 Issued in WA

Legal business name

KRISTI KETZ, PH.D., P.S.

Practice address

421 W Riverside Ave Ste 310
Spokane, WA 99201-2458

Phone

(509) 747-1440

Fax

(509) 747-4420

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Frances K. Ketz, PH.D.NPI 1043299332

Title

Psychologist/Owner

Phone

(509) 747-1440

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frances Kristine Ketz, PHD

  • Psychologist
  • Little Rock, AR
  • NPI 1043299332
  NPD (past) Authorized official
• Heather Dazell, MSW

  • Clinical Social Worker
  • Spokane, WA
  • NPI 1346281730
  NPD (past)
• Christine Richelle Guzzardo, PH.D.

  • Clinical Neuropsychologist
  • Spokane, WA
  • NPI 1144212457
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1316952161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W RIVERSIDE AVE STE 310",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012458",
            "telephone_number": "509-747-1440",
            "fax_number": "509-747-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W RIVERSIDE AVE STE 310",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012458",
            "telephone_number": "509-747-1440",
            "fax_number": "509-747-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTI KETZ, PH.D., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "KETZ",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "509-747-1440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY 2852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7122336",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Kretschmar
• Alicia Kreutzer, RN, BSN
• Lisa Kreymborg
• Kelsey Lynn Kribs, PT, DPT
• Deepa Krishnamurthi, PA-C
• Kristin Penn, Ma, LMHC (PLLC)
• Kristin Souers Ma, LMHC
• Anya Krmpotich Corcoran
• Susan Elizabeth Krohn, COTA
• Kaylee Kroll, OTR/L

• Psychologist in Spokane, WA
• Providers in Spokane, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.