Joe Etherton PHD, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

32701 Issued in TX

Legal business name

JOE ETHERTON PHD, LLC

Practice address

1008 Mopac Circle
Suite 200
Austin, TX 78746

Phone

(512) 982-9273

NPI assigned

Sep 13, 2017

Organization subpart

No

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

Authorized official

Name

Joe Etherton

Title

PHD, Owner

Phone

(512) 982-9273

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Etherton, PHD

  • Psychologist
  • Austin, TX
  • NPI 1487789624
  NPD (past)

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505260800000",
    "number": "1639698459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 MOPAC CIRCLE",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 MOPAC CIRCLE",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-982-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE ETHERTON PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-13",
        "status": "A",
        "authorized_official_last_name": "ETHERTON",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "PHD, OWNER",
        "authorized_official_telephone_number": "512-982-9273"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Taylor Jobe, M.D.
• Stefani A. Jobe, CRNA
• Sydney Nalley Jobe, DPT
• Ciyona Jobin
• Jochebed Healthcare LLC
• Joe T. Powell, MD PA
• Bob Joe, O.D.
• Kristin Elise Joe, MS, RDN, LD
• Tiffany Daisy Joe, M.D.
• Joeben Medical Supplies LLC

• Clinical Psychologist in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; 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.