KELLY DAE KETTLEWELL PH.D.
NPI 1285389544
Psychologist - Counseling in Williamsport, PA

NPI Status: Active since February 15, 2022

Contact Information

49 E 4TH ST STE 205
WILLIAMSPORT, PA
ZIP 17701
Phone: (570) 601-4788

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  • Individual
  • Female
  • Psychologist
  • Counseling

About KELLY KETTLEWELL

This page provides the complete NPI Profile along with additional information for Kelly Kettlewell, a provider established in Williamsport, Pennsylvania with a medical specialization in Psychologist, focusing in counseling . The healthcare provider is registered in the NPI registry with number 1285389544 assigned on February 2022. The practitioner's primary taxonomy code is 103TC1900X with license number PS017216 (PA). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1285389544
Provider Name
KELLY DAE KETTLEWELL PH.D.
Gender
Female
Entity Type
Individual
Location Address
49 E 4TH ST STE 205 WILLIAMSPORT, PA 17701
Location Phone
(570) 601-4788
Mailing Address
49 E 4TH ST STE 205 WILLIAMSPORT, PA 17701
Mailing Phone
(570) 601-4788
Is Sole Proprietor?
Yes
Enumeration Date
02-15-2022
Last Update Date
02-08-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Counseling

Taxonomy Code
103TC1900X
Type
Behavioral Health & Social Service Providers
License No.
PS017216
License State
PA
Taxonomy Description
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285389544
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165681858
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 6 + 8 + 1 + 8 + 5 + 8 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1285389544 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992029458DR. BRIAN J SCHURR PSY.D.
Individual
Psychologist (Clinical)49 E 4TH ST STE 205
WILLIAMSPORT, PA 17701
(570) 293-9569
1437891595CENTRAL KEYSTONE COUNSELING, LLC
Organization
Psychologist49 E 4TH ST STE 205
WILLIAMSPORT, PA 17701
(570) 293-9569

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285389544, enumerated in the NPI registry as an "individual" on February 15, 2022

The provider is located at 49 E 4th St Ste 205 Williamsport, Pa 17701 and the phone number is (570) 601-4788

The provider's speciality is Psychologist with taxonomy code 103TC1900X with a focus in Counseling

This NPI record was last updated on February 15, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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