Richard Ettelson, PHD

ActiveIndividual ProviderClinical Psychologist
NPI issued: June 22, 2006

Quick Facts

NPI Number
1174569453
TypeIndividual
StatusActive
SpecialtyClinical Psychologist
Taxonomy103TC0700X — Clinical Psychologist
Phone
(909) 989-0901
StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1174569453)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (June 22, 2006)
Data source: CMS NPPES

Provider Overview

RICHARD ETTELSON, PHD is a Clinical Psychologist provider based in Rancho Cucamonga, CA who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1174569453
Provider TypeIndividual Provider
GenderMale
CredentialPHD
StatusActive
Enumeration DateJune 22, 2006

Practice Location

CityRancho Cucamonga
StateCA
ZIP Code91730-6889
Phone(909) 989-0901

Specialties & Licenses

★ Primary
SpecialtyClinical Psychologist
Taxonomy Code103TC0700X
License StateCA

Mailing Address

CityRancho Cucamonga
StateCA
ZIP Code91730-6889
Phone(909) 989-0901
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1174569453 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1174569453for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1174569453 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Clinical Psychologist

Specialists in Clinical Psychologist provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Clinical Psychologistproviders →
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75,968
Clinical Psychologist Providers in the US

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People Also Ask

What is Richard Ettelson's NPI number?
Richard Ettelson's NPI number is 1174569453, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Richard Ettelson's NPI currently active?
Yes, Richard Ettelson's NPI status is Active as of the latest CMS NPPES database updates.
What does Richard Ettelson specialize in?
Richard Ettelson specializes in Clinical Psychologist. The healthcare taxonomy code associated with this specialty is 103TC0700X.
Where does Richard Ettelson practice?
Richard Ettelson practices in Rancho Cucamonga, CA 91730-6889.
When was Richard Ettelson's NPI issued?
Richard Ettelson's NPI was issued on June 22, 2006.
What is Richard Ettelson's provider type?
Richard Ettelson is registered as an Individual Provider under CMS NPI Type 1.