Kelly Dae Kettlewell, PH.D.
NPI 1285389544ActiveIndividual· Psychologist, Counseling· Williamsport, PA
Psychologist, Counseling (PH.D.) in Williamsport, Pennsylvania, licensed in PA, with an NPI issued in February 2022.
Overview
| NPI | 1285389544 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Feb 15, 2022 |
| Last updated in NPPES | Feb 8, 2023 |
| Certified by provider | Feb 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | PS017216 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Psychologist, Counseling providers in Williamsport
- 1104281989
- 1407157365
- 1982644050