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DR. ETHAN SCOTT BANNAR PSYD
NPI 1467962928
Psychologist - Clinical in Goodfellow Afb, TX

Active since October 10, 2017
271 FT RICHARDSON AVE, GOODFELLOW AFB, TX 76908(325) 654-3122(325) 654-5161 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2023, Nov 9, 2022, Sep 11, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Ethan Scott Bannar Psyd NPPES

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

DR. ETHAN SCOTT BANNAR PSYD (NPI 1467962928) is an individual clinical provider in Goodfellow Afb, Texas, licensed in Virginia (0810007978) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1467962928
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ETHAN SCOTT BANNARCredential: PSYD
Location Address271 FT RICHARDSON AVEGoodfellow Afb, TX 76908
Mailing Address271 Ft Richardson AveGoodfellow Air Force Base, TX 76908 · (325) 654-3122 · Fax (325) 654-5161
Phone(325) 654-3122
Fax(325) 654-5161
Sole ProprietorNo
Enumeration DateOctober 10, 2017
Last NPPES UpdateJuly 13, 20234 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
✔ NPI 1467962928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810007978
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
271 FT RICHARDSON AVE, Goodfellow Afb, TX 76908
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Other Providers at the Same Location NPPES 11

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

DR. GREGORY SHAYNE ZILINSKI D.D.S
Dentist (Endodontics)
271 FT RICHARDSON AVE, 17TH MEDICAL GROUP
GOODFELLOW AFB, TX 76908
Tom Green County (325) 654-3053
DR. NATALIE LYNN RESTIVO M.D.
Preventive Medicine (Aerospace Medicine)
271 FT RICHARDSON AVE
GOODFELLOW AFB, TX 76908
Tom Green County (325) 654-3634
TANYA R CRAIG FNP-BC
Nurse Practitioner (Family)
271 FT RICHARDSON AVE
SAN ANGELO, TX 76908
Tom Green County (325) 654-5373
JENNIFER NICOLE JOHNSON PT
Military Health Care Provider
271 FT RICHARDSON AVE
GOODFELLOW AFB, TX 76908
Tom Green County (325) 654-5190
AMANDA OCTAVIA NICHOLE HARDY-MILLER PHD
Psychologist (Counseling)
271 FT RICHARDSON AVE
GOODFELLOW, TX 76908
Tom Green County (325) 654-3122
DR. ROBERT WESLEY RAINEY PHARM. D.
Pharmacist
271 FT RICHARDSON AVE
GOODFELLOW AFB, TX 76908
Tom Green County (325) 654-3101
MINDY COURTER LCSW
Social Worker (Clinical)
271 FT RICHARDSON AVE, BLDG 1007
GOODFELLOW AFB, TX 76908
Tom Green County (325) 654-3122
JACKELYN MARIE WISER APRN- FNP-BC
Nurse Practitioner (Family)
271 FT RICHARDSON AVE
GOODFELLOW AFB, TX 76908
Tom Green County (325) 654-5391

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 Ethan Bannar's NPI number?

The NPI number for Ethan Bannar is 1467962928. It was assigned to this individual provider in the NPPES registry on October 10, 2017.

Where is Ethan Bannar located?

Ethan Bannar practices at 271 Ft Richardson Ave, Goodfellow Afb, TX 76908. The listed phone number is (325) 654-3122.

What is Ethan Bannar's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Ethan Bannar was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.