Robert B Dibble

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

140001AP Issued in CA

Legal business name

ROBERT B DIBBLE

Practice address

375 E Line St
Bishop, CA 93514-3566

Phone

(760) 873-4357

Fax

(760) 873-7446

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Bailey Dibble, PH.D. PSYCHOLOGIST

Title

Director

Phone

(760) 873-4357

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alpine Center for Counseling and Recovery Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suzanne Reynaud-Roepke, PH.D.

  • Psychologist
  • Los Gatos, CA
  • NPI 1104383579
  NPD (past)
• Doris Santiago, LMFT

  • Marriage & Family Therapist
  • Bishop, CA
  • NPI 1477588119
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1417076563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 E LINE ST",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935143566",
            "telephone_number": "760-873-4357",
            "fax_number": "760-873-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 E LINE ST",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935143566",
            "telephone_number": "760-873-4357",
            "fax_number": "760-873-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B DIBBLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "DIBBLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BAILEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "760-873-4357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D. PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "140001AP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID",
            "identifier": "003336",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpine Center for Counseling and Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregg Randall Richards, RPT
• Anita Richardson, RN
• James Richardson, M.D.
• Eric Ivars Richman, OD
• Joseph Ridenour, OD
• Robert B Lowthorp DDS Inc
• Mark K. Robinson, M.D.
• Susan Jeanne Robinson, M.D.
• Tina Marie Rodriguez, RN
• Sarah Rogers

• Substance Use Disorder Rehabilitation Clinic/Center in Bishop, CA
• Providers in Bishop, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.