Manetta Psychology Apc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MANETTA PSYCHOLOGY APC

Practice address

5560 La Jolla Blvd Ste B
La Jolla, CA 92037-7650

Phone

(619) 393-1447

Fax

(619) 393-1410

NPI assigned

Sep 9, 2026

Organization subpart

No

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

Authorized official

Name

Etianne Manetta, PSYD

Title

Licensed Clinical Psychologist

Phone

(619) 393-1447

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1215847439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 LA JOLLA BLVD STE B",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377650",
            "telephone_number": "619-393-1447",
            "fax_number": "619-393-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 LA JOLLA BLVD STE B",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377650",
            "telephone_number": "619-393-1447",
            "fax_number": "619-393-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANETTA PSYCHOLOGY APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "MANETTA",
        "authorized_official_first_name": "ETIANNE",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "619-393-1447",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerel Lee Salvador Malong
• Candice Manabat, PHARMD
• Arnold Joseph Mandell, M.D.
• Kristen M Manecke, O.T.
• Jeanne E. Manese, PH.D.
• Atlantide Maria Mangin, LPCC
• Elizabeth Leigh Mangin, MD
• Nasrin Mani, M.D.
• Shivangi Maniar, DO
• Souksakhone S Manivanh, PHARMD

• Clinical Psychologist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.