KENYATTA ETCHISON
NPI 1053516328
Psychologist - Health Service in Boston, MA

Active since June 18, 2007
85 E NEWTON ST, BOSTON, MA 02118(617) 414-4646 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenyatta Etchison NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENYATTA ETCHISON (NPI 1053516328) is an individual health service provider in Boston, Massachusetts and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1053516328
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameKENYATTA ETCHISON
Location Address85 E NEWTON STBoston, MA 02118-2340
Mailing Address290 Quarry St Apt 415Quincy, MA 02169-4151
Sole ProprietorNo
Enumeration DateJune 18, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1053516328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
85 E NEWTON ST, Boston, MA 02118

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
85 E NEWTON ST
BOSTON, MA 02118
Social Worker
85 E NEWTON ST
BOSTON, MA 02118
Social Worker
85 E NEWTON ST
BOSTON, MA 02118
Counselor (Mental Health)
85 E NEWTON ST
BOSTON, MA 02118
Student in an Organized Health Care Education/Training Program
85 E NEWTON ST
BOSTON, MA 02118
Student in an Organized Health Care Education/Training Program
85 E NEWTON ST
BOSTON, MA 02118
Counselor (Mental Health)
85 E NEWTON ST
BOSTON, MA 02118
Social Worker
85 E NEWTON ST, BEST
BOSTON, MA 02118

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenyatta Etchison's NPI number?

The NPI number for Kenyatta Etchison is 1053516328. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Kenyatta Etchison located?

Kenyatta Etchison practices at 85 E Newton St, Boston, MA 02118. The listed phone number is (617) 414-4646.

What is Kenyatta Etchison's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Kenyatta Etchison was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.