Elyse P Ketchum
Student in an Organized Health Care Education/Training Program in Roxbury, Massachusetts
1922915123- Practice location
- 520 Dudley St, Roxbury, MA 02119-2769
- Phone
- 617-445-6655
- Fax
- —
- Last updated
- September 8, 2026
Elyse Parsons Ketchum is a Student in an Organized Health Care Education/Training Program based in Roxbury, MA. Elyse Parsons Ketchum practices in Roxbury, MA. The NPI Number for Elyse Parsons Ketchum is 1922915123. The current practice location address for Elyse Parsons Ketchum is 520 Dudley St, Roxbury, MA 02119-2769 and can be reached out via phone at 617-445-6655.
Provider Profile Details
- NPI Number
- 1922915123
- Provider Name
- Elyse Parsons Ketchum
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 520 Dudley St, Roxbury, MA 02119-2769
- Phone Number
- 617-445-6655
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 25, 2026
- Last Update Date
- September 8, 2026
- Certification Date
- September 8, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 520 Dudley St
Roxbury, MA 02119-2769 - City
- Roxbury
- State
- Massachusetts
- Zip
- 02119-2769
- Phone Number
- 617-445-6655
Provider Business Mailing Address Details
- Address
- 520 Dudley St
Roxbury, MA 02119-2769 - City
- Roxbury
- State
- MA
- Zip
- 02119-2769
- Phone Number
- 617-445-6655
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Elyse P Ketchum?
The NPI number of Elyse P Ketchum is 1922915123. It was assigned on August 25, 2026 and is currently active in the NPPES registry.
What is the specialty of Elyse P Ketchum?
Elyse P Ketchum is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Elyse P Ketchum practice?
The practice location is 520 Dudley St, Roxbury, MA 02119-2769. The office can be reached at 617-445-6655 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922915123 directly on the NPPES registry website.