MARK A ETSCHEIDT (PHD) – Clinical Psychologist, NPI 1003839010

MARK A ETSCHEIDT (PHD) is a healthcare provider. based in Lexington, Kentucky. specializing in Clinical Psychologist. They hold the professional credentials PHD. They hold a License No. 783 (KY). The NPI Number for MARK A ETSCHEIDT (PHD) is 1003839010

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
MARK A ETSCHEIDT (PHD)
NPI
1003839010
Phone
(859) 323-5956
Address
740 S LIMESTONE
Enumeration Date
25 July 2006
Last Update Date
14 April 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8592579800
Graduation Year
1989 (37 years ago)
PAC ID
6800892696
Group Practice PAC ID
3072425289
Professional Enrollment ID
I20061019000114
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MARK A ETSCHEIDT (PHD)

  • 740, South Limestone, North Elizabeth Street, Lexington, Fayette County, Kentucky, 40508, United States

    LEXINGTON, KY 405360001

    Phone: (859) 323-5956

    Type: Location

  • 2333, Alumni Park Plaza, Lexington, Fayette County, Kentucky, 40517, United States

    SUITE 200

    LEXINGTON, KY 405174012

    Phone: (859) 257-7910

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40536)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072425289View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Certified Registered Nurse Anesthetist (Crna)KY
Nurse PractitionerKY
-KY
Nurse PractitionerAR
Physician AssistantKY
Physician AssistantKY
-KY
Nurse PractitionerKY

Reviews

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Frequently asked questions

Can I use this page to confirm MARK A ETSCHEIDT (PHD)'s NPI?
Yes. MARK A ETSCHEIDT (PHD) is listed with NPI 1003839010 in the public NPI dataset.
Can I rely on MARK A ETSCHEIDT (PHD) being an active provider?
As of the registry snapshot, MARK A ETSCHEIDT (PHD) is marked active.
What is MARK A ETSCHEIDT (PHD)'s specialty?
The listing groups MARK A ETSCHEIDT (PHD) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where is MARK A ETSCHEIDT (PHD) based?
MARK A ETSCHEIDT (PHD) is tied to Lexington, Kentucky in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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