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DR. JACQUELINE GREY ETEMAD M.D.
NPI 1396032363
Psychiatry & Neurology - Child & Adolescent Psychiatry in Tiburon, CA

Active since June 29, 2011
15 VENADO DR, TIBURON, CA 94920(415) 435-2776(415) 435-9415 Get Directions Write a Review

NPPES record last updated: June 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacqueline Grey Etemad M.d. NPPES

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

DR. JACQUELINE GREY ETEMAD M.D. (NPI 1396032363) is an individual child & adolescent psychiatry provider in Tiburon, California, licensed in California (A21746) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1396032363
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. JACQUELINE GREY ETEMADCredential: M.D.
Location Address15 VENADO DRTiburon, CA 94920-1634
Mailing Address15 Venado DrTiburon, CA 94920-1634 · (415) 435-2776 · Fax (415) 435-9415
Phone(415) 435-2776
Fax(415) 435-9415
Sole ProprietorYes
Enumeration DateJune 29, 2011
✔ NPI 1396032363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · A21746
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
15 VENADO DR, Tiburon, CA 94920
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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 Jacqueline Etemad's NPI number?

The NPI number for Jacqueline Etemad is 1396032363. It was assigned to this individual provider in the NPPES registry on June 29, 2011.

Where is Jacqueline Etemad located?

Jacqueline Etemad practices at 15 Venado Dr, Tiburon, CA 94920. The listed phone number is (415) 435-2776.

What is Jacqueline Etemad's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Jacqueline Etemad was last updated on June 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.