ETHERIDGE PSYCHOLOGY, P.A. (NPI# 1275820144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275820144 |
| Entity Type | Organization |
| Organization Name | ETHERIDGE PSYCHOLOGY, P.A. |
| Practice Address |
115 Kildaire Park Dr Ste 313 Cary NC 27518-8144 |
| Practice Telephone | 9196004906 |
| Practice Fax Number | 8888876361 |
| Mailing Telephone | 9196004906 |
| Mailing Fax Number | 8888876361 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2020-01-24 |
| Authorized Official Name | DR. MARY ANNE ETHERIDGE (PRESIDENT) |
| Authorized Official Telephone | 9196004906 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | 3686 | NC | Behavioral Health & Social Service Providers |
| Street Address |
115 KILDAIRE PARK DR STE 313 |
| City | CARY |
| State | NC |
| Zip Code | 27518-8144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437294212 | Mary Anne Etheridge | Psychologist | 115 Kildaire Park Dr Ste 313, Cary, NC 27518-8144 | 2007-02-20 |
| 1578196622 | Rebekah Smith | Psychologist | 115 Kildaire Park Dr Ste 313, Cary, NC 27518-8144 | 2020-02-18 |
| 1215232434 | Roy L Etheridge | Psychologist | 115 Kildaire Park Dr Ste 313, Cary, NC 27518-8144 | 2011-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932730801 | Fuller & Associates Iv, Pllc | Dentist | 3420 Ten-ten Road, Suite 310, Cary, NC 27518 | 2020-01-30 |
| 1649761602 | Uday N Reebye, Md. Dmd, Pa | Dentist | 431 Keisler Dr Ste 101, Cary, NC 27518 | 2018-05-25 |
| 1164912093 | Cary Dental Rejuvenation | Dentist | 155 Parkway Office Court, Suite 104, Cary, NC 27518 | 2018-05-16 |
| 1104337021 | Kaylah Mckinley Black | Nurse Practitioner | 530 New Waverly Pl Ste 301, Cary, NC 27518 | 2017-10-18 |
| 1013442961 | Amber Pinsky | Occupational Therapist | 5310 Woodfield Lake Road, Cary, NC 27518 | 2017-04-28 |
| 1750733564 | Maureen Lyons Reardon | Psychologist | 2500 Regency Parkway, Cary, NC 27518 | 2016-07-05 |
| 1730539651 | Anna Liakh | Dentist | 8204 Tryon Woods Dr, Cary, NC 27518 | 2016-06-21 |
| 1609236173 | Matthew John Myschisin II | Chiropractor | 4312 Farm Brook Dr, Cary, NC 27518 | 2016-02-26 |
| 1003299405 | Amanda Lee Morris | Social Worker | 531 Keisler Dr Ste 104, Cary, NC 27518 | 2015-07-02 |
| 1053791343 | Duke University Affiliated Physicians | Family Medicine | 530 Waverly Place, Suite 101, Cary, NC 27518 | 2015-06-02 |
| Find all providers in zip 27518 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174181721 | Alexandra J Thompson | Psychologist | 111 Elkton Green Ct, Cary, NC 27519-1588 | 2019-05-30 |
| 1407322456 | Hayley Alyssa Hughes | Psychologist | 2000 Regency Pkwy Ste 285, Cary, NC 27518-8506 | 2018-10-17 |
| 1750733564 | Maureen Lyons Reardon | Psychologist | 2500 Regency Parkway, Cary, NC 27518 | 2016-07-05 |
| 1144660176 | Martha Sue Garrett | Psychologist | 236 Westover Hills Dr, Cary, NC 27513-2959 | 2013-07-05 |
| 1699015669 | Sara Salter | Psychologist | 130 Preston Executive, Ste 202, Cary, NC 27519 | 2013-02-27 |
| 1528305166 | Kristen Bair | Psychologist | 1200 Se Maynard Rd, Suite 202, Cary, NC 27511 | 2013-01-15 |
| 1679820658 | Laura Greene | Psychologist | 200 Dalmeny Dr, Cary, NC 27513-2816 | 2012-08-09 |
| 1497084800 | Calandra Plattner | Psychologist | 119 Trafalgar Ln, Cary, NC 27513-5124 | 2009-12-14 |
| 1609024678 | Wanda Kay Steele | Psychologist | 306 Atterbury Ln, Cary, NC 27518-9442 | 2008-09-03 |
| 1316105729 | Donnal Francis Patrick Crohan II | Psychologist | 2474 Walnut St, #232, Cary, NC 27518-9212 | 2008-06-02 |
| Find all providers in CARY | ||||
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| 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.