Theodore Ciesinski, PHD in Fremont, CA - Medicare Psychologist Provider

Theodore Ciesinski, PHD is a medicare enrolled "Psychologist" provider in Fremont, California. His current practice location is 39180 Liberty St Ste 205, Fremont, California. You can reach out to his office (for appointments etc.) via phone at (916) 827-7319.

Theodore Ciesinski is licensed to practice in California (license number 24868) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487918231.

Contact Information

	Theodore Ciesinski, PHD
	39180 Liberty St Ste 205, Fremont, CA 94538-2586
	(916) 827-7319
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Theodore Ciesinski
Gender	Male
Speciality	Psychologist
Location	39180 Liberty St Ste 205, Fremont, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487918231
Provider Enumeration Date: 06/26/2012
Last Update Date: 03/31/2023

Medicare PECOS Information:

PECOS PAC ID: 1254581929
Enrollment ID: I20121016000373

Medical Identifiers

Medical identifiers for Theodore Ciesinski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487918231	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	1867 (Hawaii)	Secondary
103T00000X	Psychologist	24868 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theodore Ciesinski is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Theodore Ciesinski, PHD 520 Lunalilo Home Road, 8228, Honolulu, HI 96825 Ph: (916) 827-7319	Theodore Ciesinski, PHD 39180 Liberty St Ste 205, Fremont, CA 94538-2586 Ph: (916) 827-7319

Reviews and Comments

Psychologist in Fremont, CA

Manju Prabadaran, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4210 Technology Dr, Fremont, CA 94538 Phone: 747-777-2791
Dr. Benedict Anthony Lim, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 39400 Paseo Padre Pkwy, Department Of Psychiatry, Fremont, CA 94538 Phone: 510-248-3060
Dr. Jennifer Katherine Leo, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-248-3000
Vidur Malik, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 39155 Liberty St Ste E500, Fremont, CA 94538 Phone: 510-574-2100
Libby Pearce, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 39420 Liberty St, Suite 140, Fremont, CA 94538 Phone: 510-745-9151
Dr. Danessa Iza Mayo, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3893 Fiano Cmn, Fremont, CA 94555 Phone: 510-497-0478
Dr. Hannah Joharchi, Psychologist Medicare: Medicare Enrolled Practice Location: 39350 Civic Center Dr, Fremont, CA 94538 Phone: 510-494-4145

Theodore Ciesinski, PHD - Medicare Psychologist in Fremont, CA