Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theodore Ciesinski, PHD

Individual provider Psychologist · NPI 1487918231

Theodore Ciesinski, PHD is a Clinical Psychologist in Fremont, California. Qualified in 1996, 30 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California and Hawaii.

Years since qualifying
30
Licensed in
CA, HI
In the registry since
2012
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

39180 Liberty St Ste 205
Fremont, CA 94538-2586
Phone: (916) 827-7319
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 24868 (CA)
Psychologist Taxonomy 103T00000X · Licence 1867 (HI)

Record details

NPI number1487918231
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJune 26, 2012
Last updated in NPPESMarch 31, 2023
Certification dateMarch 31, 2023
Mailing address520 Lunalilo Home Road, 8228, Honolulu, HI 96825

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fremont