Arnell Ruby Etherington, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY14735 Issued in CA

Practice address

205 Third Ave.
Suite 200D
San Mateo, CA 94402

Phone

(650) 728-1526

Fax

(650) 728-3527

NPI assigned

Mar 22, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043336746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370392",
            "address_2": "1521 MAIN ST.",
            "city": "MONTARA",
            "state": "CA",
            "postal_code": "940370392",
            "telephone_number": "650-728-1526",
            "fax_number": "650-728-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 THIRD AVE.",
            "address_2": "SUITE 200D",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94402",
            "telephone_number": "650-728-1526",
            "fax_number": "650-728-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETHERINGTON",
        "first_name": "ARNELL",
        "middle_name": "RUBY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Barbara Price Estrada, PSY.D.
• Sarah Estrada
• Liliana M Estrella
• Chidimma Etchenwune
• Kenneth Kehinde Etefia, M.D.
• Jonathan Etkin
• Yarnel Evangelista
• Carly Elizabeth Evans
• Tomoko Evans
• Evergreen Bay Family Care, Inc.

• Psychologist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.