ROBERT LUNDBLAD PSY.D. P.C. (NPI# 1285942631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285942631 |
| Entity Type | Organization |
| Organization Name | ROBERT LUNDBLAD PSY.D. P.C. |
| Practice Address |
2695 12th Pl Se Salem OR 97302-2537 |
| Practice Telephone | 5037798645 |
| Practice Fax Number | 5033157571 |
| Mailing Telephone | 5037798645 |
| Mailing Fax Number | 5033157571 |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-20 |
| Authorized Official Name | DR. ROBERT THEODORE LUNDBLAD (OWNER) |
| Authorized Official Telephone | 5037798645 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 1688 | OR | Managed Care Organizations |
| Street Address |
2695 12TH PL SE |
| City | SALEM |
| State | OR |
| Zip Code | 97302-2537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114918471 | Jennifer Carley | Nurse Practitioner | 2695 12th Pl Se, Salem, OR 97302-2537 | 2005-11-03 |
| 1275077521 | Kelsey Entz | Counselor | 2695 12th Pl Se, Salem, OR 97302-2537 | 2016-12-06 |
| 1366836579 | Annamarie H Mattox | Social Worker | 2695 12th Pl Se, Salem, OR 97302 | 2015-03-25 |
| 1689939928 | Alan B Neumann | Counselor | 2695 12th Pl Se, Salem, OR 97302-2537 | 2012-07-12 |
| 1366778789 | Barbara M. Balowitz, Lcsw | Social Worker | 2695 12th Pl Se, Salem, OR 97302-2537 | 2009-10-19 |
| 1427269190 | True North PC Therapeutic Options for Mental Health | Clinic/Center | 2695 12th Pl Se, Salem, OR 97302-2537 | 2007-05-24 |
| 1649373044 | Robert Theordore Lundblad | Psychologist | 2695 12th Pl Se, Salem, OR 97302-2537 | 2006-09-07 |
| 1699878009 | Sandra Lynne Lundblad | Psychologist | 2695 12th Pl Se, Salem, OR 97302-2537 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447633482 | Brennan Chiropractic | Preferred Provider Organization | 1497 Lancaster Dr Ne, Salem, OR 97301-1961 | 2015-07-08 |
| 1497077903 | Brightsmile Family Dental, LLC | Preferred Provider Organization | 3460 Liberty Rd S, Salem, OR 97302-4607 | 2010-02-24 |
| 1396764379 | Nationaldiabeticpharmacies | Preferred Provider Organization | 2157 Apperson Dr, National Diabetic Pharmacies, Salem, VA 24153-7235 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1366974347 | Kgs Lcsw | Preferred Provider Organization | 843 E Main St Ste 304, Medford, OR 97504-7137 | 2017-03-30 |
| 1215387402 | Fabiana Garcia | Preferred Provider Organization | 18139 Ne Couch St, Portland, OR 97230-7281 | 2016-06-17 |
| 1659721397 | Oregon Department of Corrections | Preferred Provider Organization | 17734 Sw Shasta Trl, Tualatin, OR 97062-8455 | 2016-06-14 |
| 1730538273 | Paula Lowden | Preferred Provider Organization | 1023 Se Lambert St, Portland, OR 97202-6329 | 2016-06-06 |
| 1962858464 | All Seasons Family Medicine PC | Preferred Provider Organization | 25045 Dunham Ave., Veneta, OR 97487 | 2016-05-13 |
| 1467842591 | Kevin Plummer Dc PC | Preferred Provider Organization | 1972 Laveta Ln, Eugene, OR 97402-1103 | 2015-01-27 |
| 1225445166 | Northwest Acupuncture | Preferred Provider Organization | 10224 Sw Park Way # A, Portland, OR 97225-5010 | 2014-07-11 |
| 1538579727 | Qhsa Dba Dr. Bradley J Burket Dmd, Md | Preferred Provider Organization | 2195 Ne Professional Ct Ste 1, Bend, OR 97701-6028 | 2014-04-28 |
| 1770905879 | Willamette Dental | Preferred Provider Organization | 17804 Nw Marylhurst Dr, Portland, OR 97229-7913 | 2014-01-09 |
| 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.