DR. WAYNE CARLTON ETHERIDGE (NPI# 1609923713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609923713 |
| Entity Type | Individual |
| Full Name | DR. WAYNE CARLTON ETHERIDGE |
| Credential | PH.D. |
| Practice Address |
5030 Anchor Way Christiansted VI 00820-4692 |
| Mailing Address |
Po Box 26461 St Croix VI 00824-2461 |
| Practice Telephone | 3407737772 |
| Mailing Telephone | 3407197007 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-01-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
04-019-PSY | VI | Behavioral Health & Social Service Providers |
| Street Address |
5030 ANCHOR WAY |
| City | CHRISTIANSTED |
| State | VI |
| Zip Code | 00820-4692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285275081 | Mjpt LLC | Physical Therapist | 5030 Anchor Way, Christiansted, VI 00820-4692 | 2019-10-02 |
| 1659761856 | Chelcie Stanton | Occupational Therapist | 5030 Anchor Way, Suite 7, Christiansted, VI 00820 | 2015-01-27 |
| 1235402611 | Lindsy Wagner LLC | Clinical Neuropsychologist | 5030 Anchor Way, Suites 5,7,9, 10, Christiansted, VI 00820 | 2012-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575610 | Family Medicine Associates & Consultants, Pllc | Family Medicine | Island Medical Center; Suite 301, 4500 Sunny Isle, Christiansted, VI 00820 | 2020-10-12 |
| 1013530294 | The Turning Point Senior Care LLC | In Home Supportive Care | 246-c Estate Glynn, Kingshill, VI 00820 | 2020-05-22 |
| 1871115956 | Nneka Igwemadu | Pharmacist | Sunny Isles Shopping Center, Unit 1, St.croix, VI 00820 | 2020-05-12 |
| 1639720428 | Jade Family Therapy | Clinic/Center | 2201 Church Street, Suite 16ab Second Floor, Christiansted, VI 00820 | 2019-09-24 |
| 1003467010 | Cody Matthew Rea | Physical Therapy Assistant | 4201 (201-202) Estate Ruby, Christianstead, VI 00820 | 2019-09-23 |
| 1639723943 | Peter W Stewart | Health Educator | 2d Estate Princess, Abc Building, Christiansted, VI 00820 | 2019-07-25 |
| 1013570308 | Hunter Garrison | Physical Therapist | 201 - 202 Estate Ruby, Christiansted, VI 00820 | 2019-04-22 |
| 1154882371 | Jessica Erin Carter | Physician Assistant | 4423 Queen Mary Hwy, Christiansted, VI 00820 | 2019-03-29 |
| 1023596418 | Camille Marise Paul | Physician Assistant | 4500 Sunny Isle, Ste. 9, Island Medical Center, Christiansted, VI 00820 | 2018-07-30 |
| 1245722669 | Berlina Wallace-berube | Counselor | 100b La Grande Princesse, Christiansted, VI 00820 | 2018-06-01 |
| Find all providers in zip 00820 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740606797 | Migdalia Brathwaite | Psychologist | 3500 Richmond, Christiansted, St. Croix, VI 00820-4370 | 2014-03-14 |
| 1811200447 | Sheena Myong Walker | Psychologist | 9149 Estate Thomas, Suite 209a, St Thomas, VI 00802-2615 | 2010-07-25 |
| City | CHRISTIANSTED |
| Zip Code | 00820 |
Please comment or provide details below to improve the information on DR. WAYNE CARLTON ETHERIDGE.
| 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.