Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Richard Ettelson, PHD

Individual provider Clinical Psychologist · NPI 1174569453

Richard Ettelson, PHD is a Clinical Psychologist in Rancho Cucamonga, California. Qualified in 1998, 28 years ago. Practices with Memory Check Psychological Services, a Professional Corporation, a 80-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
28
Licensed in
CA
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

10630 Town Center Dr Ste 120
Rancho Cucamonga, CA 91730-6889
Phone: (909) 989-0901
Fax: (909) 941-1087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10722 Arrow Rte, Rancho Cucamonga, CA 91730-4808 — (909) 367-3333

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence D5418953 (CA)

Record details

NPI number1174569453
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 22, 2006
Last updated in NPPESSeptember 18, 2018
Mailing address10630 Town Center Dr Ste 120, Rancho Cucamonga, CA 91730-6889

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Memory Check Psychological Services, A Professional Corporation — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Rancho Cucamonga