Individual provider Active NPI

Robert A. Chinisci, PH.D.

  • Psychologist
  • Denver, CO
National Provider Identifier
1285735498
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
565 Issued in CO
Practice address
4770 E Iliff Ave Ste 234
Denver, CO 80222-6000
Phone
(303) 757-4142
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 565 CO Primary

Addresses

Primary practice location

4770 E Iliff Ave Ste 234
Denver, CO 80222-6000

Mailing address

4770 E Iliff Ave Ste 234
Denver, CO 80222-6000
Phone (303) 757-4142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050913001083 CO Practitioner - Clinical Psychologist 5991738759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2833 S Colorado Blvd
Denver, CO 80222-6609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Robert a. Chinisci, PH.D., P.C. CurrentSince Mar 2, 2013 Accepting new patients

Locations

2833 S Colorado Blvd
Denver, CO 80222
Phone (303) 759-4135

4770 E Iliff Ave
Ste 234
Denver, CO 80222
Phone (303) 757-4142

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1285735498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 E ILIFF AVE STE 234",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226000",
            "telephone_number": "303-757-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 E ILIFF AVE STE 234",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226000",
            "telephone_number": "303-757-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINISCI",
        "first_name": "ROBERT",
        "middle_name": "A.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.