Etianne Camille Manetta, PSYD
Clinical Psychologist · San Diego, CA
Etianne Camille Manetta, PSYD is a clinical psychologist with a practice address in San Diego, California, and NPI 1669207510, issued on Sep 2, 2024. Check the license (California PSY35217, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Etianne Camille Manetta
- Credential
- PSYD
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License number
- PSY35217 CA
Self-reported in NPPES; status is on the state search - Practice location
- 1350 Columbia St Unit 402, San Diego, CA 92101
- Phone
- (619) 393-1447
- Enumerated
- Sep 2, 2024
- Record last updated
- Sep 2, 2024
- Medicare enrollment
- Enrolled (PECOS I20241101000460); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 12,647 in California → Look up another NPI →
Also registered at 1350 Columbia St Unit 402
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Daniel Blaess, PH.D.Clinical Psychologist1972572253
Verify Etianne Camille Manetta in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license PSY35217Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Daniel Blaess, Ph.d., Psychologist, Inc.San Diego, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Etianne Camille Manetta among 12,647 clinical psychologist records in California
Etianne Camille Manetta, PSYD is one of 12,647 clinical psychologist records with a practice address in California. 9% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 96% of them.
- NPI issued2024 · 96% of these records are older, 2% newer
- In a Medicare fileYes · 9% of these records are
- In the CMS Doctors and Clinicians fileYes · 19% of these records are
- Graduated2022 · median 2006 among the 2,424 with a school on file
- Record last updated2024 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
983 clinical psychologist records list a practice address in San Diego
They are 983 of the 52,937 NPPES records with a practice address in San Diego, and 12,647 clinical psychologist records in California.
All 12,647 in California → Every provider in San Diego → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Wayne Bardwell, PH.D.San Diego, CA 921011366420630
- Christine Bernet, PHDSan Diego, CA 921011891783288
- Daniel Blaess, PH.D.San Diego, CA 921011972572253
- Janet Cacho, PHDSan Diego, CA 921011558437053
- Kimberly Evans, PH.D.San Diego, CA 921011164446480
- Erin Ferma, PH.D.San Diego, CA 921011124038153
- Joy Geyman, PSYDSan Diego, CA 921011336243013
- Natanya Glezer, PSY.D.San Diego, CA 921011083778286
Common questions
What is Etianne Camille Manetta, PSYD's NPI number?
Etianne Camille Manetta, PSYD's National Provider Identifier (NPI) is 1669207510, issued on Sep 2, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Etianne Camille Manetta, PSYD located?
The NPPES record lists a practice address at 1350 Columbia St Unit 402, San Diego, CA, 92101. Phone: (619) 393-1447. Providers update this record themselves, so call before visiting.
How can I verify Etianne Camille Manetta, PSYD's license?
NPPES lists California license number PSY35217, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.