DR. THEODORE WEBSTER ETLING JR. PSYD
NPI 1497063424
Clinical Neuropsychologist in Gilbert, AZ

Q: What is Theodore Etling's NPI number?

The NPI number for Theodore Etling is 1497063424. It was assigned to this individual provider in the NPPES registry on September 24, 2010.

Q: What is Theodore Etling's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Etling was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 24, 2010PECOS EnrolledAccepts Medicare Assignment

7400 S POWER RD STE 120, GILBERT, AZ 85297(480) 926-0644(480) 926-0645 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 17, 2023, May 31, 2023, May 5, 2022 and 1 more (4 updates tracked since 2017).

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About Dr. Theodore Webster Etling Jr. Psyd NPPES

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

DR. THEODORE WEBSTER ETLING JR. PSYD (NPI 1497063424) is an individual clinical neuropsychologist in Gilbert, Arizona, licensed in Arizona (4204) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1497063424

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. THEODORE WEBSTER ETLING JR.Credential: PSYD

Location Address7400 S POWER RD STE 120Gilbert, AZ 85297-9283

Mailing Address7400 S Power Rd Ste 120Gilbert, AZ 85297-9283 · (480) 926-0644 · Fax (480) 926-0645

Phone(480) 926-0644

Fax(480) 926-0645

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateSeptember 24, 2010

Last NPPES UpdateOctober 17, 20234 updates tracked since enumeration

NPPES CertifiedOctober 17, 2023

✔ NPI 1497063424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in AZ · 4204

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

7400 S POWER RD STE 120, Gilbert, AZ 85297

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Secondary Practice Location 1

Location 111225 N 28th Dr Ste B215Phoenix, AZ 85029-5649 · Phone (602) 686-8161 · Fax (480) 630-7748

Other Identifiers 1

Medicaid644018AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Theodore Webster Etling Jr. Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981870326

PECOS Enrollment IDI20120105000746

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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139

This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.

1,520 services219 patients

Evaluation of neuropsychological test, each additional hour 96133

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

867 services219 patients

Administration of psychological or neuropsychological test by technician, first 30 minutes 96138

This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.

219 services219 patients

Exam of neurobehavioral status, first hour 96116

An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.

217 services216 patients

Evaluation of neuropsychological test, first hour 96132

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

217 services217 patients

Exam of neurobehavioral status, each additional hour 96121

This procedure involves a thorough evaluation of your neurobehavioral status, focusing on brain functions that affect behavior and cognition. It's extended for an additional hour to gather more detailed information about your neurological health.

148 services148 patients

Other Providers at the Same Location NPPES

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

BRIAN BECK MD

Psychiatry & Neurology (Neurology)

7400 S POWER RD STE 120
GILBERT, AZ 85297

Maricopa County (480) 926-0644

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 Theodore Etling's NPI number?

The NPI number for Theodore Etling is 1497063424. It was assigned to this individual provider in the NPPES registry on September 24, 2010.

Where is Theodore Etling located?

Theodore Etling practices at 7400 S Power Rd Ste 120, Gilbert, AZ 85297. The listed phone number is (480) 926-0644.

What is Theodore Etling's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Theodore Etling enrolled in Medicare?

Yes. Theodore Etling is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Theodore Etling was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.