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THEODOR ENE M.D.
NPI 1629235486
Psychiatry & Neurology - Child & Adolescent Psychiatry in Providence, RI

Active since May 20, 2008PECOS EnrolledAccepts Medicare Assignment
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906(401) 455-6200(401) 455-6309 Get Directions Write a Review

NPPES record last updated: May 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theodor Ene M.d. NPPES

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

THEODOR ENE M.D. (NPI 1629235486) is an individual child & adolescent psychiatry provider in Providence, Rhode Island, licensed in Rhode Island (MD14263) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1629235486
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameTHEODOR ENECredential: M.D.
Location Address345 BLACKSTONE BLVDProvidence, RI 02906-4800
Mailing Address345 Blackstone BlvdProvidence, RI 02906-4800 · (401) 455-6200 · Fax (401) 455-6309
Phone(401) 455-6200
Fax(401) 455-6309
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 20, 2008
Last NPPES UpdateMay 18, 2016
✔ NPI 1629235486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in RI · MD14263✔ Licensed in MA · 238333
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 238333 (MA), MD14263 (RI)
345 BLACKSTONE BLVD, Providence, RI 02906
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Theodor Ene M.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 ID2961557491
PECOS Enrollment IDI20130814000009
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
37 services11 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
32 services18 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
31 services15 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
31 services11 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
21 services20 patients

Other Providers at the Same Location NPPES 20

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

KEVIN E. BAILL MD & ASSOCIATES, LLC
Clinic/Center
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (917) 447-2138
SHARATH PONNAPPA PUTTICHANDA
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (401) 455-6346
MS. JASMINE APPLEBERRY M.S.W., L.I.C.S.W.
Social Worker (Clinical)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (401) 225-2044
BRITTANY CATHERINE DAWSON FNP-BC
Nurse Practitioner (Family)
345 BLACKSTONE BLVD, MEMORY AND AGING PROGRAM
PROVIDENCE, RI 02906
Providence County (401) 455-6403
CYNTHIA CHEN YANG MD
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (401) 455-6373
DR. MICAH BENJAMIN DUGGINS-WARF MD
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (716) 803-9249
KATHARINE ANNE PHILLIPS MD
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (401) 455-6200
LISA BRAFF SHEA MD
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (401) 455-6200

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 Theodor Ene's NPI number?

The NPI number for Theodor Ene is 1629235486. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Theodor Ene located?

Theodor Ene practices at 345 Blackstone Blvd, Providence, RI 02906. The listed phone number is (401) 455-6200.

What is Theodor Ene's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Theodor Ene enrolled in Medicare?

Yes. Theodor Ene 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 Theodor Ene accept?

Health plans from Harvard Pilgrim Health Care list Theodor Ene 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 Theodor Ene was last updated on May 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.