Mrs Ellen Marie Theobald, PHD - Psychologist in Riverside, CA

Mrs Ellen Marie Theobald, PHD is a Psychologist - Clinical based in Riverside, California. Mrs Ellen Marie Theobald is licensed to practice in California (license number PSY9953) and her current practice location is 5015 Canyon Crest Dr, Suite 203, Riverside, California. She can be reached at her office (for appointments etc.) via phone at (951) 369-7416.

NPI number for Mrs Ellen Marie Theobald is 1962576223 and her current mailing address is 5307 Stonewood Dr, Riverside, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962576223.

Contact Information

Mrs Ellen Marie Theobald, PHD
5015 Canyon Crest Dr, Suite 203,
Riverside, CA 92507
(951) 369-7416
(951) 787-9093

Map and Direction




Healthcare Provider's Profile

Full NameMrs Ellen Marie Theobald
GenderFemale
SpecialityPsychologist - Clinical
Location5015 Canyon Crest Dr, Riverside, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1962576223
  • Provider Enumeration Date: 11/20/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Ellen Marie Theobald such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962576223NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY9953 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Ellen Marie Theobald is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Ellen Marie Theobald, PHD
5307 Stonewood Dr,
Riverside, CA 92506

Ph: (951) 683-2684
Mrs Ellen Marie Theobald, PHD
5015 Canyon Crest Dr, Suite 203,
Riverside, CA 92507

Ph: (951) 369-7416

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.