Richard Ettelson, PHD
Clinical Psychologist · Rancho Cucamonga, CA
Richard Ettelson, PHD is a clinical psychologist with a practice address in Rancho Cucamonga, California, and NPI 1174569453, issued on Jun 22, 2006. Check the license (California D5418953, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Richard Ettelson
- Credential
- PHD
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License number
- D5418953 CA
Self-reported in NPPES; status is on the state search - Practice location
- 10630 Town Center Dr Ste 120, Rancho Cucamonga, CA 91730
- Phone
- (909) 989-0901
- Enumerated
- Jun 22, 2006
- Record last updated
- Sep 18, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (909) 941-1087
- Medicare enrollment
- Enrolled (PECOS I20191121002304); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 12,647 in California → Look up another NPI →
Also registered at 10630 Town Center Dr Ste 120
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Steven Gonzales, L.C.S.W.Clinical Social Worker1558467258
- Ana RodriguezMarriage & Family Therapist1861766354
Verify Richard Ettelson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license D5418953Check 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
- Memory Check Psychological Services, A Professional CorporationCarlsbad, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Richard Ettelson among 12,647 clinical psychologist records in California
Richard Ettelson, PHD 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 2006, is newer than 1% of them.
- NPI issued2006 · 1% of these records are older, 80% newer
- In a Medicare fileYes · 9% of these records are
- In the CMS Doctors and Clinicians fileYes · 19% of these records are
- Graduated1998 · median 2006 among the 2,424 with a school on file
- Record last updated2018 · 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).
41 clinical psychologist records list a practice address in Rancho Cucamonga
They are 41 of the 4,579 NPPES records with a practice address in Rancho Cucamonga, and 12,647 clinical psychologist records in California.
All 12,647 in California → Every provider in Rancho Cucamonga → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Doulglas Buche, PH.D.Rancho Cucamonga, CA 917301770557365
- Jenss Chang, PHDRancho Cucamonga, CA 917301942494786
- Christopher Deulen, PH.DRancho Cucamonga, CA 917301215094909
- Gerald Duprez, PH.D.Rancho Cucamonga, CA 917301760462105
- James Grace, PHDRancho Cucamonga, CA 917301396801304
- Sheila Hays, PH.D.Rancho Cucamonga, CA 917301497977110
- Wendy Ku, PSY.D.Rancho Cucamonga, CA 917301932242716
- Georgina Lamphere Sullivan, PHDRancho Cucamonga, CA 917301487633616
Common questions
What is Richard Ettelson, PHD's NPI number?
Richard Ettelson, PHD's National Provider Identifier (NPI) is 1174569453, issued on Jun 22, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Richard Ettelson, PHD located?
The NPPES record lists a practice address at 10630 Town Center Dr Ste 120, Rancho Cucamonga, CA, 91730. Phone: (909) 989-0901. Providers update this record themselves, so call before visiting.
How can I verify Richard Ettelson, PHD's license?
NPPES lists California license number D5418953, 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.