SAMUEL O T ETCHIE MD INC
NPI 1346669157
Psychiatry & Neurology - Psychiatry in La Mesa, CA

Q: What is Samuel O T Etchie MD Inc's NPI number?

The NPI number for Samuel O T Etchie MD Inc is 1346669157. It was assigned to this organization in the NPPES registry on April 9, 2014.

Q: What is Samuel O T Etchie MD Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since April 09, 2014

7200 PARKWAY DR STE 109, LA MESA, CA 91942(619) 303-8363(619) 303-8364 Get Directions Write a Review

NPPES record last updated: April 9, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Samuel O T Etchie Md Inc NPPES

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

SAMUEL O T ETCHIE MD INC (NPI 1346669157) is a healthcare organization registered as a psychiatry in La Mesa, California and active in the NPI registry since April 2014. The organization lists Samuel Ot Etchie, Owner, as its authorized official.

NPPES Registry Identity

NPI1346669157

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameSAMUEL O T ETCHIE MD INC

Location Address7200 PARKWAY DR STE 109La Mesa, CA 91942-1534

Mailing Address7770 Regents Rd # 130San Diego, CA 92122-1937 · (619) 277-9887 · Fax (877) 253-9831

Phone(619) 303-8363

Fax(619) 303-8364

Organization SubpartNo

Authorized OfficialSamuel Ot EtchieOwner · (619) 277-9887

Enumeration DateApril 9, 2014

✔ NPI 1346669157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · A53857

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

7200 PARKWAY DR STE 109, La Mesa, CA 91942

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel O T Etchie Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Samuel O T Etchie MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Samuel Etchie, M.D.

Psychiatry

NPI 1124039052

7200 PARKWAY DR STE 113
La Mesa, CA 91942

(619) 337-0455

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Samuel O T Etchie MD Inc's NPI number?

The NPI number for Samuel O T Etchie MD Inc is 1346669157. It was assigned to this organization in the NPPES registry on April 9, 2014.

Where is Samuel O T Etchie MD Inc located?

Samuel O T Etchie MD Inc is located at 7200 Parkway Dr Ste 109, La Mesa, CA 91942. The listed phone number is (619) 303-8363.

What is Samuel O T Etchie MD Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Samuel O T Etchie MD Inc enrolled in Medicare?

Yes. Samuel O T Etchie MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Samuel O T Etchie MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Samuel O T Etchie MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Samuel O T Etchie MD Inc was last updated on April 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.