DR. ROBERT THEORDORE LUNDBLAD (NPI# 1649373044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649373044 |
| Entity Type | Individual |
| Full Name | DR. ROBERT THEORDORE LUNDBLAD |
| Credential | CLINICAL PSYCHOLOGIS |
| Practice Address |
2695 12th Pl Se Salem OR 97302-2537 |
| Practice Telephone | 5039452800 |
| Mailing Telephone | 5039459840 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1688 | OR | Behavioral Health & Social Service Providers |
| 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 |
| 1285942631 | Robert Lundblad Psy.d. P.C. | Preferred Provider Organization | 2695 12th Pl Se, Salem, OR 97302-2537 | 2010-09-20 |
| 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 |
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225655012 | Drew Taylor Bassett | Psychologist | 1970 Roanoke Blvd # 116b1, Salem, VA 24153-6404 | 2020-06-29 |
| 1871114793 | Lola White Psyd LLC | Psychologist | 388 State St Ste 704, Salem, OR 97301-4023 | 2020-05-01 |
| 1992270615 | Dr Taloyo LLC | Psychologist | 3000 Market St Plaza Ne Ste 426, Salem, OR 97301-1894 | 2018-10-09 |
| 1023509825 | Kevin T Cannon | Psychologist | 10 Federal St Ste 307, Salem, MA 01970-3860 | 2018-05-29 |
| 1538659339 | Morgan K Eichorst | Psychologist | 1970 Roanoke Blvd # 116b, Salem, VA 24153-6478 | 2018-05-16 |
| 1093235038 | Lauren Katherine Meehan | Psychologist | 87 Stiles Rd Ste 106, Salem, NH 03079-2899 | 2017-06-21 |
| 1942660196 | Andrew Kenagy | Psychologist | 2601 25th St Se Ste 420, Salem, OR 97302 | 2016-03-01 |
| 1689926677 | Daniel V Smith | Psychologist | 2600 Center Street Ne (office Go5-216), Oregon State Hospital, Forensic Evaluation Service, Salem, OR 97301-2669 | 2012-10-15 |
| 1225333958 | Robert H. Jones, Ph.d., P.C. | Psychologist | 1307 Commercial St. S.e., Salem, OR 97302-4205 | 2011-01-11 |
| 1891006383 | Tessa Nicole Salisbury | Psychologist | 170 E 300 S, Salem, UT 84653-9453 | 2010-06-29 |
| Find all providers in SALEM | ||||
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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.