Etheridge Psychology, P.A.
NPI 1275820144ActiveOrganization· Psychologist· Cary, NC
Psychologist in Cary, North Carolina, registered in NPPES in June 2011. The authorized official on file is Mary Anne Etheridge, PHD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1275820144 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 29, 2011 |
| Last updated in NPPES | Jan 24, 2020 |
| Certified by provider | Jan 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 3686 | NC |
| Psychologist | 103T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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