THEODORE CIESINSKI PH.D.
NPI 1487918231
Psychologist in Fremont, CA

Active since June 26, 2012PECOS EnrolledAccepts Medicare Assignment
39180 LIBERTY ST STE 205, FREMONT, CA 94538(916) 827-7319 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2023, Apr 23, 2021, Jan 26, 2021 (3 updates tracked since 2021).

About Theodore Ciesinski Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE CIESINSKI PH.D. (NPI 1487918231) is an individual psychologist in Fremont, California, licensed in California (24868) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1487918231
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameTHEODORE CIESINSKICredential: PH.D.
Location Address39180 LIBERTY ST STE 205Fremont, CA 94538-2586
Mailing Address520 Lunalilo Home Road, 8228Honolulu, HI 96825 · (916) 827-7319
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateJune 26, 2012
Last NPPES UpdateMarch 31, 20233 updates tracked since enumeration
NPPES CertifiedMarch 31, 2023
NPI 1487918231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in CA · 24868 Licensed in HI · 1867
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
39180 LIBERTY ST STE 205, Fremont, CA 94538

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Theodore Ciesinski Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254581929
PECOS Enrollment IDI20251014001657
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
39180 LIBERTY ST STE 205
FREMONT, CA 94538
Behavior Technician
39180 LIBERTY ST STE 205
FREMONT, CA 94538
Social Worker (Clinical)
39180 LIBERTY ST STE 205
FREMONT, CA 94538
Nurse Practitioner (Psychiatric/Mental Health)
39180 LIBERTY ST STE 205
FREMONT, CA 94538
Behavior Technician
39180 LIBERTY ST STE 205
FREMONT, CA 94538
Behavior Analyst
39180 LIBERTY ST STE 205
FREMONT, CA 94538
Behavior Analyst
39180 LIBERTY ST STE 205
FREMONT, CA 94538
Social Worker (Clinical)
39180 LIBERTY ST STE 205
FREMONT, CA 94538

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Ciesinski's NPI number?

The NPI number for Theodore Ciesinski is 1487918231. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Where is Theodore Ciesinski located?

Theodore Ciesinski practices at 39180 Liberty St Ste 205, Fremont, CA 94538. The listed phone number is (916) 827-7319.

What is Theodore Ciesinski's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Theodore Ciesinski enrolled in Medicare?

Yes. Theodore Ciesinski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Theodore Ciesinski accept?

Health plans from HMSA list Theodore Ciesinski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodore Ciesinski was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.