1. Home
  2. Directory
  3. California
  4. San Diego
  5. Psychologist
  6. NPI Profile

ETIANNE CAMILLE MANETTA PSYD
NPI 1669207510
Psychologist - Clinical in San Diego, CA

Active since September 02, 2024PECOS EnrolledAccepts Medicare Assignment
1350 COLUMBIA ST UNIT 402, SAN DIEGO, CA 92101(619) 393-1447 Get Directions Write a Review

NPPES record last updated: September 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Etianne Camille Manetta Psyd NPPES

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

ETIANNE CAMILLE MANETTA PSYD (NPI 1669207510) is an individual clinical provider in San Diego, California, licensed in California (PSY35217) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1669207510
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameETIANNE CAMILLE MANETTACredential: PSYD
Location Address1350 COLUMBIA ST UNIT 402San Diego, CA 92101-3455
Mailing Address1350 Columbia St Unit 402San Diego, CA 92101-3455
Phone(619) 393-1447
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 2, 2024
NPPES CertifiedSeptember 2, 2024
✔ NPI 1669207510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY35217
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.
1350 COLUMBIA ST UNIT 402, San Diego, CA 92101
Open in Google Maps ↗

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

Etianne Camille Manetta 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 ID9638602444
PECOS Enrollment IDI20241101000460
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DANIEL BLAESS, PH.D., PSYCHOLOGIST, INC.
Psychologist (Clinical)
1350 COLUMBIA ST UNIT 402
SAN DIEGO, CA 92101
San Diego County (619) 804-1669
MIGUEL A CASTRO, PSY.D., PSYCHOLOGIST, INC.
Psychologist
1350 COLUMBIA ST UNIT 402
SAN DIEGO, CA 92101
San Diego County (760) 604-4885
DR. DANIEL ROBERT BLAESS PH.D.
Psychologist (Clinical)
1350 COLUMBIA ST UNIT 402
SAN DIEGO, CA 92101
San Diego County (619) 804-1669

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 Etianne Manetta's NPI number?

The NPI number for Etianne Manetta is 1669207510. It was assigned to this individual provider in the NPPES registry on September 2, 2024.

Where is Etianne Manetta located?

Etianne Manetta practices at 1350 Columbia St Unit 402, San Diego, CA 92101. The listed phone number is (619) 393-1447.

What is Etianne Manetta's specialty?

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

Is Etianne Manetta enrolled in Medicare?

Yes. Etianne Manetta 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 Etianne Manetta was last updated on September 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.