Individual provider Active NPI

Allyson Kett, PSYD

  • Clinical Psychologist
  • Severna Park, MD
National Provider Identifier
1821238734
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
04712 Issued in MD
Practice address
877 Baltimore Annapolis Blvd Ste 202
Severna Park, MD 21146-4716
Phone
(410) 684-3806
NPI assigned
Mar 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 04712 MD Primary

Addresses

Primary practice location

877 Baltimore Annapolis Blvd Ste 202
Severna Park, MD 21146-4716

Mailing address

877 Baltimore Annapolis Blvd Ste 202
Severna Park, MD 21146-4716
Phone (703) 869-4053

Other practice location 1

166 Defense Hwy Ste 203
Annapolis, MD 21401-8922
Phone (410) 684-3806

Other identifiers 1

IdentifierTypeStateIssuer
04712OtherMDLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2015 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Waypoint Assessment and Consultation, LLC Current Accepting new patients
Waypoint Mental Health, LLC Clinical Current Accepting new patients
Waypoint Wellness Center, LLC Current Accepting new patients
Arundel Mental Health Professionals L.C. Clinical Past Accepting new patients

Locations

166 Defense Hwy
Ste 203
Annapolis, MD 21401
Phone (410) 573-1767

1190 Winterson Rd
Ste 160
Linthicum Heights, MD 21090
Phone (410) 684-3406

877 Baltimore Annapolis Blvd
Ste 202
Severna Park, MD 21146
Phone (410) 684-3806

Interoperability endpoints

  • Direct secure messaging: waypointwellnesscenter.allysonkett@150898.advancedmd-direct.com

Organizations & group practices 4

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": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1821238734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 BALTIMORE ANNAPOLIS BLVD STE 202",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464716",
            "telephone_number": "703-869-4053",
            "fax_number": "410-684-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 BALTIMORE ANNAPOLIS BLVD STE 202",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464716",
            "telephone_number": "410-684-3806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 Defense Hwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214018922",
            "country_code": "US",
            "telephone_number": "410-684-3806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KETT",
        "first_name": "ALLYSON",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-05",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "04712",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

Verify at the official NPI Registry.