Kaitlin Marie Ketcham

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

50 Aldrin Rd
Plymouth, MA 02360-4827

Phone

(617) 848-9091

NPI assigned

Feb 15, 2018

Sex

Female

Sole proprietor

No

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.

• The Commonwealth of Massachusetts

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brockton, MA
  • NPI 1326155458
  Medicare reassignment Care Compare group NPD MA
• The Commonwealth of Massachusetts

  • General Acute Care Hospital
  • Holyoke, MA
  • NPI 1427111574
  Care Compare group NPD
• The Commonwealth of Massachusetts

  • Clinical Medical Laboratory
  • Boston, MA
  • NPI 1053463448
  Care Compare group
• The Commonwealth of Massachusetts

  • Clinical Medical Laboratory
  • Jamaica Plain, MA
  • NPI 1093856965
  Care Compare group
• The Commonwealth of Massachusetts

  • Psychiatric Hospital
  • Fall River, MA
  • NPI 1194803288
  Care Compare group
• The Commonwealth of Massachusetts

  • Psychiatry Physician
  • Worcester, MA
  • NPI 1275680456
  Care Compare group
• The Commonwealth of Massachusetts

  • Psychiatric Hospital Unit
  • Boston, MA
  • NPI 1285759464
  Care Compare group
• The Commonwealth of Massachusetts

  • Psychiatric Hospital
  • Worcester, MA
  • NPI 1306903042
  Care Compare group
• The Commonwealth of Massachusetts

  • Public Health or Welfare Agency
  • Chelsea, MA
  • NPI 1477643658
  Care Compare group
• The Commonwealth of Massachusetts

  • Public Health or Welfare Agency
  • Boston, MA
  • NPI 1528656675
  Care Compare group
• The Commonwealth of Massachusetts

  • Long Term Care Hospital
  • Jamaica Plain, MA
  • NPI 1568532273
  Care Compare group
• The Commonwealth of Massachusetts

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boston, MA
  • NPI 1568587913
  Care Compare group
• The Commonwealth of Massachusetts

  • Psychiatric Hospital
  • Fall River, MA
  • NPI 1700964947
  Care Compare group
• The Commonwealth of Massachusetts

  • Psychiatric Hospital
  • Pocasset, MA
  • NPI 1851477491
  Care Compare group
• The Commonwealth of Massachusetts

  • Long Term Care Hospital
  • Tewksbury, MA
  • NPI 1871680496
  Care Compare group
• The Commonwealth of Massachusetts

  • Psychiatric Hospital
  • Taunton, MA
  • NPI 1922101724
  Care Compare group

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Commonwealth of Massachusetts 141 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MA

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 15, 2018.

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1609376607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 BLUE ROCK DR APT 301",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125196",
            "telephone_number": "339-832-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ALDRIN RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604827",
            "telephone_number": "617-848-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETCHAM",
        "first_name": "KAITLIN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Marie Kerr
• Maryanna Kerr, DMD
• Stephen Kerr, DMD
• Annemarie Kerry, NP
• August Kerschner, DO
• Deborah Kettner
• Kevin M Killarney, M. ED.
• Melissa Jeanne Killham, RN
• Stanley Kim
• Alexandra Storb Kimball, OTR/L

• All providers in Plymouth, MA
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.