Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Randy L. Kettering PHD, PC

Organization Clinical Psychologist · NPI 1194937359

Randy L. Kettering PHD, PC provides Clinical Psychologist services in Evanston, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

807 Davis St Unit 605
Evanston, IL 60201-4820
Phone: (847) 934-8475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 060004613 (IL)

Record details

NPI number1194937359
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Kettering — President · (847) 934-8475
NPI enumeratedMay 3, 2007
Last updated in NPPESOctober 6, 2022
Certification dateOctober 6, 2022
Mailing address807 Davis St Unit 605, Evanston, IL 60201-4820

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