What is Mark Ettensohn's NPI number?

Mark Ettensohn's National Provider Identifier (NPI) is 1417147703, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mark Ettensohn's specialty?

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

Where is Mark Ettensohn located?

Mark Ettensohn's practice location on file with NPPES is 835 University Ave, Sacramento, CA 95825-6724.

What is Mark Ettensohn's phone number?

The practice phone number listed in the NPPES registry for Mark Ettensohn is (916) 538-3019.

Is Mark Ettensohn's NPI active?

Yes — Mark Ettensohn's NPI (1417147703) is active in the NPPES registry as of the last update on 2013-01-03.

IndividualActive

Mark Ettensohn, PSY.D.

NPI 1417147703 · Psychologist · Sacramento, CA

Mark Ettensohn, PSY.D. is a Psychologist provider in Sacramento, CA (NPI 1417147703).

Provider details

NPI number: 1417147703
Entity type: Individual
Primary specialty: PsychologistBehavioral Health & Social Service Providers
Credential: PSY.D.
Sex: Male
Sole proprietor: Yes
License: PSY 25461 (CA)

Specialties & taxonomies

PsychologistPrimary103T00000XLicense PSY 25461 (CA)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(89/100 index)

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

Registry tenure38% of score
18 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.

Practice location

835 University Ave

Sacramento, CA 95825-6724

Phone: (916) 538-3019

Street-level locationGet directions

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Mailing address