DR. ROBERT THOMAS ENSOM II (NPI# 1265549588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265549588 |
| Entity Type | Individual |
| Full Name | DR. ROBERT THOMAS ENSOM II |
| Other Name | MR. ROBERT THOMAS ENSOM I |
| Credential | M.D. |
| Practice Address |
40 E. Minarets Ave Pinedale CA 93650 |
| Mailing Address |
40 E Minarets Ave Fresno CA 93650-1239 |
| Practice Telephone | 5594360482 |
| Practice Fax Number | 5594364650 |
| Mailing Telephone | 5594360482 |
| Mailing Fax Number | 5594364650 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2015-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G45247 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1265549588 | 01 |
| Street Address |
40 E. MINARETS AVE |
| City | PINEDALE |
| State | CA |
| Zip Code | 93650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508371279 | Mariella Valladares | Counselor | 40 E Minarets, Pinedale, Ca, Pinedale, CA 93650 | 2017-12-04 |
| 1346627999 | Amelia Mendoza | Case Manager/Care Coordinator | 40 E Minarets Ave #1, Pinedale, CA 93650 | 2015-05-04 |
| 1053740001 | Darci Simms | Social Worker | 40 E Minarets, Pinedale, CA 93650 | 2013-11-09 |
| 1043567001 | Kyle Matthew Luis | Licensed Psychiatric Technician | 40 East Minarets, Pinedale, CA 93650 | 2012-08-09 |
| 1184761710 | James Molina | Rehabilitation Practitioner | 40 E. Minarets, Pinedale, CA 93650 | 2007-01-31 |
| 1386158715 | Mayra Lopez | Counselor | 40 E Minarets Ave, Pinedale, CA 93650 | 2017-11-21 |
| 1417339029 | Michelle Schreiner | Licensed Vocational Nurse | 40 E Minarets Ave, Pinedale, CA 93650 | 2015-06-19 |
| 1881012896 | Dolores Cruz Sandoval | Licensed Vocational Nurse | 40 E. Minarets, Pinedale, CA 93650 | 2014-04-07 |
| 1053672774 | Andrea Lynne Templeton | Counselor | 40 E Minarets Ave, Pinedale, CA 93650 | 2012-05-30 |
| 1477837458 | Olga Arredondo | Marriage & Family Therapist | 40 E Minarets Ave, Pinedale, CA 93650 | 2011-10-07 |
| Find all providers in zip 93650 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982054 | Joseph Ashimedua Modestus | Psychiatry & Neurology | 22433 South Vermont Ave, Apt 412, Torrance, CA 90502-9050 | 2020-11-03 |
| 1659970333 | Flatow Medical Corporation | Psychiatry & Neurology | 4840 Mindora Dr, Torrance, CA 90505-2140 | 2020-10-22 |
| 1053910158 | Open Mind Mental Health Inc | Psychiatry & Neurology | 5241 Alzeda Dr, La Mesa, CA 91941-5726 | 2020-10-20 |
| 1831705383 | Joel A Badeaux, Md, A Professional Corp | Psychiatry & Neurology | 2135 Park Dr, Los Angeles, CA 90026-1919 | 2020-09-21 |
| 1730794223 | Margarita Alonso Md LLC | Psychiatry & Neurology | 4401 Manchester Ave Ste 101, Encinitas, CA 92024-4938 | 2020-09-10 |
| 1760095673 | Dana Np: Advanced Practice Psychiatric Nursing, Inc. | Psychiatry & Neurology | 9801 Olympic Dr, Huntington Beach, CA 92646-4848 | 2020-08-29 |
| 1730792102 | Oladapo Tomori | Psychiatry & Neurology | Ginger, 116 New Montgomery Street, Suite 500, San Francisco, CA 94105 | 2020-08-26 |
| 1326658204 | Michael Martyna | Psychiatry & Neurology | 401 Quarry Road, Room 2208, Stanford Neuropsychiatry Fellowship Program Department, Stanford, CA 94305-5723 | 2020-08-05 |
| 1568072767 | Capitol City Psychiatry | Psychiatry & Neurology | 300 Harding Blvd Ste 118, Roseville, CA 95678-2472 | 2020-08-03 |
| 1164031530 | Katherine Ann Valdivia | Psychiatry & Neurology | 710 Madison St # A, Watsonville, CA 95076-2702 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.