Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215232434 Individual Practitioner Male Practitioner

Dr. Roy L Etheridge , PhD

Psychologist • Cary, NC

Professional Overview & Biography Verified Profile Summary

Dr. Roy Etheridge, PhD is a registered healthcare professional specializing in Psychologist in Cary, NC. Practice services are available at 115 KILDAIRE PARK DR STE 313 under active NPI credentials.

Frequently performed procedures and clinical services include psychological testing with interpretation and report by psychologist or physician per hour, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

115 Kildaire Park Dr Ste 313

Cary, NC 275188144

Telephone 9196004906
Fax 8888876361
Associated Practice Facility / Clinic
🏢 Etheridge Psychology, P.a. Facility NPI 1275820144

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Cary, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.3 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
54 Specialists

Practicing in Cary, NC (1760 Statewide)

Telehealth Adoption Rate
3.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
39.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
96101 Psychological testing with interpretation and report by psychologist or physician per hour
54 12 $150.00 $76.45
90791 Psychiatric diagnostic evaluation
12 12 $181.25 $125.01

Medical Specialties & State Licenses

CMS Verified: 2020-01-24
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License NC 3895

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Kristen Smith , LCMHC

Counselor - Mental Health

NPI 1104489533

Licensed Clinical Mental Health Counselor

NPI 1215519004

Master of Arts

Cathryn Mainville , MSED LCMHC

Counselor - Professional

NPI 1265881692

MSEDLCMHC

NPI 1316650302

Licensed Clinical Social Worker Associate

Dr. Mary Etheridge , PhD

Psychologist - Clinical

NPI 1437294212

Doctor of Philosophy (Ph.D.)

Ashley Niehaus

Psychologist - Clinical

NPI 1508174384

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location January 24, 2020

Registered at 115 KILDAIRE PARK DR STE 313, CARY, NC 275188144 (Tel: 9196004906)

NPI Profile Active December 30, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 30, 2014

Registered at 1120 SE CARY PKWY STE 201, CARY, NC 275187413 (Tel: 9196004906)

📍
Updated Business Mailing Address December 30, 2014

Registered at 1120 SE CARY PKWY STE 201, CARY, NC 275187413 (Tel: 9196004906)

👤
Provider Name / Credentials Updated December 30, 2014

Recorded as ROY ETHERIDGE, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2014

Psychologist (License #3895 in NC)

🟢
Initial NPI Registration & Enumeration January 19, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Roy Etheridge. Be the first to share your experience!

Sign in to leave a review for Dr. Roy Etheridge

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1215232434
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2011
Last Update: January 24, 2020
Sole Proprietor: No

Mailing Address

1120 Se Cary Pkwy Ste 201

Cary, NC 275187413

Phone: 9196004906

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.