What is Ethan Amdahl's NPI number?

Ethan Amdahl's National Provider Identifier (NPI) is 1043743537, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ethan Amdahl's specialty?

Ethan Amdahl is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).

Where is Ethan Amdahl located?

Ethan Amdahl's practice location on file with NPPES is 62305 8th St., Camp Pendleton, CA 92055-5452.

What is Ethan Amdahl's phone number?

The practice phone number listed in the NPPES registry for Ethan Amdahl is (760) 763-6058.

Is Ethan Amdahl's NPI active?

Yes — Ethan Amdahl's NPI (1043743537) is active in the NPPES registry as of the last update on 2025-11-17.

IndividualActive

Ethan Amdahl, PSY.D.

NPI 1043743537 · Clinical Psychologist · Camp Pendleton, CA

Ethan Amdahl, PSY.D. is a Clinical Psychologist provider in Camp Pendleton, CA (NPI 1043743537).

Provider details

NPI number: 1043743537
Entity type: Individual
Primary specialty: Clinical PsychologistBehavioral Health & Social Service Providers
Credential: PSY.D.
Sex: Male
Sole proprietor: No
License: 0810007593 (VA)

Practice location

62305 8th St.

Camp Pendleton, CA 92055-5452

Phone: (760) 763-6058

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

62305 8th Street

Camp Pendleton, CA 92055-5452

Specialties & taxonomies

Clinical PsychologistPrimary103TC0700XLicense 0810007593 (VA)
Behavioral Health & Social Service Providers

Profile Score

Established profile(71/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
9 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2017-04-11
Last updated: 2025-11-17
Certified: 2025-11-17

Frequently asked questions

What is Ethan Amdahl's NPI number?: Ethan Amdahl's National Provider Identifier (NPI) is 1043743537, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Ethan Amdahl's specialty?: Ethan Amdahl is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
Where is Ethan Amdahl located?: Ethan Amdahl's practice location on file with NPPES is 62305 8th St., Camp Pendleton, CA 92055-5452.
What is Ethan Amdahl's phone number?: The practice phone number listed in the NPPES registry for Ethan Amdahl is (760) 763-6058.
Is Ethan Amdahl's NPI active?: Yes — Ethan Amdahl's NPI (1043743537) is active in the NPPES registry as of the last update on 2025-11-17.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions