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ERICA GRACE MORAN ETTER PH.D.
NPI 1154729614
Psychologist - Clinical Child & Adolescent in Baltimore, MD

Active since December 16, 2014Opted out of Medicare · through Feb 6, 2027
1708 W ROGERS AVE, BALTIMORE, MD 21209(410) 578-5309(410) 367-4197 Get Directions Write a Review

NPPES record last updated: December 16, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Erica Grace Moran Etter Ph.d. NPPES

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

ERICA GRACE MORAN ETTER PH.D. (NPI 1154729614) is an individual clinical child & adolescent provider in Baltimore, Maryland, licensed in Maryland (05488) and active in the NPI registry since December 2014. She has opted out of Medicare through February 6, 2027.

NPPES Registry Identity

NPI1154729614
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameERICA GRACE MORAN ETTERCredential: PH.D.
Location Address1708 W ROGERS AVEBaltimore, MD 21209-4545
Mailing Address1708 W Rogers AveBaltimore, MD 21209-4545 · (410) 578-5309 · Fax (410) 367-4197
Phone(410) 578-5309
Fax(410) 367-4197
Sole ProprietorNo
Enumeration DateDecember 16, 2014
✔ NPI 1154729614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in MD · 05488
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
1708 W ROGERS AVE, Baltimore, MD 21209
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Erica Grace Moran Etter Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 6, 2023 through February 6, 2027.

Opt-Out Effective DateFebruary 6, 2023
Opt-Out In Effect ThroughFebruary 6, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

MS. SUSAN KAY DUBROFF P.T.
Physical Therapist (Pediatrics)
1708 W ROGERS AVE
BALTIMORE, MD 21209
Baltimore County (410) 578-5224
DR. AMANDA PARKS PHD
Psychologist (Clinical Child & Adolescent)
1708 W ROGERS AVE
BALTIMORE, MD 21209
Baltimore County (410) 578-8600
JODI WERNER ROSENBERG M.S.P.T.
Physical Therapist (Pediatrics)
1708 W ROGERS AVE
BALTIMORE, MD 21209
Baltimore County (410) 578-8600
DALE CLIFTON SWARTOS
Speech-Language Pathologist
1708 W ROGERS AVE
BALTIMORE, MD 21209
Baltimore County (410) 578-8600
DR. MONIQUE DALVI SATPUTE M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1708 W ROGERS AVE
BALTIMORE, MD 21209
Baltimore County (410) 578-8600
ALEXA MARTINO M.A.
Student in an Organized Health Care Education/Training Program
1708 W ROGERS AVE
BALTIMORE, MD 21209
Baltimore County (410) 578-5041
ELLEN KAYE WINGERT OTR/L
Occupational Therapist
1708 W ROGERS AVE
BALTIMORE, MD 21209
Baltimore County (410) 578-8600
UNIVERSITY OF MARYLAND ORTHOPAEDICS ASSOCIATES, P.A.
Orthopaedic Surgery
1708 W ROGERS AVE
BALTIMORE, MD 21209
Baltimore County (410) 448-6400

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 Erica Moran Etter's NPI number?

The NPI number for Erica Moran Etter is 1154729614. It was assigned to this individual provider in the NPPES registry on December 16, 2014.

Where is Erica Moran Etter located?

Erica Moran Etter practices at 1708 W Rogers Ave, Baltimore, MD 21209. The listed phone number is (410) 578-5309.

What is Erica Moran Etter's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Erica Moran Etter enrolled in Medicare?

No. Erica Moran Etter has opted out of Medicare through February 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Erica Moran Etter was last updated on December 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.