DR. CHRISTOPHER JOHN KETCHMAN (NPI# 1336101294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336101294 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER JOHN KETCHMAN |
| Credential | PSY.D. |
| Practice Address |
806 Hay St Fayetteville NC 28305 |
| Mailing Address |
806 Hay St Fayetteville NC 28305-5312 |
| Practice Telephone | 9108607008 |
| Practice Fax Number | 9102219006 |
| Mailing Telephone | 9108607008 |
| Mailing Fax Number | 9102219006 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2018-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3183 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 131 W Edinborough Ave, Raeford, NC 283762861 | 9108481222 | 9108480222 |
| 2300 Ramsey St, Fayetteville, NC 283013856 | 8007716106 | 9104825099 |
| 3507 Hill St, Hope Mills, NC 283481870 | 9103390901 | 9103390904 |
| Street Address |
806 HAY ST |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940571 | Jennifer Griffin | Social Worker | 806 Hay St, Fayetteville, NC 28305-5312 | 2020-10-19 |
| 1205448289 | Lindsay Frye | Counselor | 806 Hay St, Fayetteville, NC 28305-5312 | 2020-08-20 |
| 1538778642 | Annie L Conde-williams | Social Worker | 806 Hay St, Fayetteville, NC 28305-5312 | 2020-07-24 |
| 1417582545 | Latoya Harley-dowden | Nurse Practitioner | 806 Hay St, Fayetteville, NC 28305-5312 | 2020-03-09 |
| 1154955722 | Ariane Nicole Clancy | Counselor | 806 Hay St, Fayetteville, NC 28305-5312 | 2020-02-23 |
| 1801426135 | Amy Cox | Counselor | 806 Hay St, Fayetteville, NC 28305-5312 | 2020-01-26 |
| 1760021992 | Elizabeth Keltner | Social Worker | 806 Hay St, Fayetteville, NC 28305-5312 | 2020-01-06 |
| 1144869421 | Mandi Danielle Cauley | Social Worker | 806 Hay St, Fayetteville, NC 28305-5312 | 2020-01-03 |
| 1093367914 | Sarah Brooke Honald | Social Worker | 806 Hay St, Fayetteville, NC 28305-5312 | 2019-07-11 |
| 1598325839 | Anna Locklear | Counselor | 806 Hay St, Fayetteville, NC 28305-5312 | 2019-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437637733 | Shannon S Wiggins | Social Worker | 2525 Raeford Rd Ste A, Fayetteville, NC 28305 | 2018-07-30 |
| 1205345790 | Sarah Elizabeth Hudson | Marriage & Family Therapist | 214 Fairway Dr, Fayetteville, NC 28305 | 2017-09-27 |
| 1336533116 | Avalon Counseling Services Pa | Counselor | 916 B Arsenal Ave, Fayetteville, NC 28305 | 2015-03-19 |
| 1568882827 | Kenneth Brown | Counselor | 901 Arsenal Avenue, Suite, Fayetteville, NC 28305 | 2014-04-24 |
| 1174879423 | Lynette Maxwell Pierce | Dentist | 2537-b Raeford Rd, Fayetteville, NC 28305 | 2012-07-24 |
| 1356640973 | Charlene Jones | Social Worker | 560 Lambert St, Fayetteville, NC 28305 | 2011-03-22 |
| 1659518173 | Christine R Campbell | Speech-Language Pathologist | 2401 Roberson Street, Fayettville, NC 28305 | 2009-01-21 |
| 1588814628 | Zakiya S Karim | Pediatrics | 1327 Robeson Street, Fayetteville, NC 28305 | 2008-09-25 |
| 1710134770 | Bright Heart Healthcare Staffing | Nursing Care | 2504 Rareford Rd, Fayetteville, NC 28305 | 2008-08-21 |
| 1730272402 | Dale A Childers | Dentist | 2409 Robeson Street, Fayetteville, NC 28305 | 2006-10-02 |
| Find all providers in zip 28305 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154969657 | Kathleen Ratcliff Andrews | Psychologist | 2300 Ramsey St # B51t, Fayetteville, NC 28301-3856 | 2019-12-16 |
| 1740757731 | Dia Boutwell | Psychologist | 125 Howard Ln Ste B, Fayetteville, GA 30215-1853 | 2018-10-27 |
| 1265950034 | Elizabeth Chaisson | Psychologist | 1 W Mountain St Ste 307, Fayetteville, AR 72701-6068 | 2017-08-31 |
| 1922470020 | Savanna Cloer Mccain Phd, Pa | Psychologist | 4257 N Gabel Dr # 2b, Fayetteville, AR 72703-5004 | 2015-10-28 |
| 1538578992 | Nicole Dreiling | Psychologist | 351 Wagoner Dr Ste 130, Fayetteville, NC 28303-4669 | 2014-08-10 |
| 1255627717 | Colleen Quinn | Psychologist | 200 Mason St, 2nd Floor, Fayetteville, NC 28301-5041 | 2011-06-23 |
| 1518278373 | Ingrid Jacobs | Psychologist | 1 E Center St Ste 333, Fayetteville, AR 72701-5349 | 2010-06-27 |
| 1427372119 | Sandra V Heinsz | Psychologist | 290 Ashborough Park, Fayetteville, GA 30215-6514 | 2010-03-24 |
| 1134361546 | Elizabeth E Knowles, Ph.d., Pa | Psychologist | 4241 N Gabel Dr, Fayetteville, AR 72703-5004 | 2009-03-31 |
| 1982846671 | Louis P. Anderson | Psychologist | 120 Michael Ct, Fayetteville, GA 30215-1846 | 2009-03-27 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28305 |
Please comment or provide details below to improve the information on DR. CHRISTOPHER JOHN KETCHMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.