Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Randy L. Kettering PHD, PC

Organization Clinical Psychologist · NPI 1194937359

Randy L. Kettering PHD, PC is a Clinical Psychologist 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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