NPIMap

Organization Active NPI

Robert B Dibble

Doing business as Alpine Center for Counseling and Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bishop, CA
National Provider Identifier
1417076563
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
140001AP Issued in CA
Legal business name
ROBERT B DIBBLE
Doing business as
Alpine Center for Counseling and Recovery
Practice address
375 E Line St
Bishop, CA 93514-3566
Phone
(760) 873-4357
Fax
(760) 873-7446
NPI assigned
Mar 28, 2007
Last updated
Jan 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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. PSYCHOLOGISTNPI 1003805938
Title
Director
Phone
(760) 873-4357

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 140001AP CA Primary

Addresses

Primary practice location

375 E Line St
Bishop, CA 93514-3566

Mailing address

375 E Line St
Bishop, CA 93514-3566
Phone (760) 873-4357

Other names 1

  • Alpine Center for Counseling and Recovery Doing business as

National Provider Directory

National Provider Directory

Locations

375 E Line St
Bishop, CA 93514
Phone (760) 873-4357

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpine Center for Counseling and Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bishop, CA

Sources for this page

  • 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.