SAMUEL O T ETCHIE MD INC (NPI# 1346669157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346669157 |
| Entity Type | Organization |
| Organization Name | SAMUEL O T ETCHIE MD INC |
| Practice Address |
7200 Parkway Dr Ste 109 La Mesa CA 91942-1534 |
| Mailing Address |
7770 Regents Rd # 130 San Diego CA 92122-1937 |
| Practice Telephone | 6193038363 |
| Practice Fax Number | 6193038364 |
| Mailing Telephone | 6192779887 |
| Mailing Fax Number | 8772539831 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |
| Authorized Official Name | SAMUEL OT ETCHIE (OWNER) |
| Authorized Official Telephone | 6192779887 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A53857 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
7200 PARKWAY DR STE 109 |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-1534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
| Find all providers in zip 91942 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910158 | Open Mind Mental Health Inc | Psychiatry & Neurology | 5241 Alzeda Dr, La Mesa, CA 91941-5726 | 2020-10-20 |
| 1972014041 | Paradise Detox, Inc | Psychiatry & Neurology | 5935 Joel Ln, La Mesa, CA 91942-4101 | 2017-10-17 |
| 1538215603 | Jon Ebert Highum | Psychiatry & Neurology | 7777 Alvarado Rd # 255, La Mesa, CA 91941-3616 | 2007-01-25 |
| 1265528202 | Cleto (none) Digiovanni Jr. | Psychiatry & Neurology | 4423 Date Ave, La Mesa, CA 91941-6414 | 2006-10-05 |
| 1124039052 | Samuel O Etchie | Psychiatry & Neurology | 7200 Parkway Dr Ste 113, La Mesa, CA 91942-1534 | 2006-08-09 |
| 1245677624 | Stephen Kaiser | Psychiatry & Neurology | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2013-05-26 |
| 1780028183 | Andrey Khalafian | Psychiatry & Neurology | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2013-04-29 |
| 1700144680 | Sanjay S Rao Md A Medical Corporation Inc. | Psychiatry & Neurology | 5555 Grossmont Center Dr, Sharp Grossmont Hospital, La Mesa, CA 91942-3019 | 2012-04-27 |
| 1164718367 | Vladimir Khalafian | Psychiatry & Neurology | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2011-06-26 |
| 1275658957 | John W. Allen, M.d. | Psychiatry & Neurology | 7200 Parkway Dr Ste 113, La Mesa, CA 91942-1534 | 2007-03-20 |
| Find all providers in LA MESA | ||||
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| 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.