DR. ROY L ETHERIDGE PH.D.
NPI 1215232434
Psychologist in Cary, NC

Active since January 19, 2011PECOS Enrolled
115 KILDAIRE PARK DR STE 313, CARY, NC 27518(919) 600-4906(888) 887-6361 Get Directions Write a Review

NPPES record last updated: January 24, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Roy L Etheridge Ph.d. NPPES

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

DR. ROY L ETHERIDGE PH.D. (NPI 1215232434) is an individual psychologist in Cary, North Carolina, licensed in North Carolina (3895) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215232434
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. ROY L ETHERIDGECredential: PH.D.
Location Address115 KILDAIRE PARK DR STE 313Cary, NC 27518-8144
Mailing Address1120 Se Cary Pkwy Ste 201Cary, NC 27518-7413 · (919) 600-4906 · Fax (888) 887-6361
Fax(888) 887-6361
Sole ProprietorNo
Enumeration DateJanuary 19, 2011
Last NPPES UpdateJanuary 24, 2020
NPI 1215232434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NC · 3895
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
115 KILDAIRE PARK DR STE 313, Cary, NC 27518

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Roy L Etheridge Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

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

Counselor (Mental Health)
115 KILDAIRE PARK DR STE 313
CARY, NC 27518
Psychologist
115 KILDAIRE PARK DR STE 313
CARY, NC 27518
Psychologist
115 KILDAIRE PARK DR STE 313
CARY, NC 27518
Social Worker
115 KILDAIRE PARK DR STE 313
CARY, NC 27518
Psychologist (Clinical)
115 KILDAIRE PARK DR STE 313
CARY, NC 27518
Psychologist (Clinical)
115 KILDAIRE PARK DR STE 313
CARY, NC 27518
Psychologist
115 KILDAIRE PARK DR STE 313
CARY, NC 27518
Psychologist
115 KILDAIRE PARK DR STE 313
CARY, NC 27518

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 Roy Etheridge's NPI number?

The NPI number for Roy Etheridge is 1215232434. It was assigned to this individual provider in the NPPES registry on January 19, 2011.

Where is Roy Etheridge located?

Roy Etheridge practices at 115 Kildaire Park Dr Ste 313, Cary, NC 27518. The listed phone number is (919) 600-4906.

What is Roy Etheridge's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Roy Etheridge enrolled in Medicare?

Yes. Roy Etheridge is registered in the Medicare PECOS enrollment system.

What insurance does Roy Etheridge accept?

Health plans from Blue Cross and Blue Shield of NC list Roy Etheridge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roy Etheridge was last updated on January 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.