DR. ROBERT LEE OLDHAM (NPI# 1356379507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356379507 |
| Entity Type | Individual |
| Full Name | DR. ROBERT LEE OLDHAM |
| Credential | M.D. |
| Practice Address |
142 E California Ave Fresno CA 93706-3642 |
| Mailing Address |
2625 E Divisadero St Fresno CA 93721-1431 |
| Practice Telephone | 5596001033 |
| Practice Fax Number | 5596001101 |
| Mailing Telephone | 5594432682 |
| Mailing Fax Number | 5594432681 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2014-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
A112080 | CA | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A112080 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
A112080 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427195296 | Robert V Oldham | Counselor | 869 Deerwander Rd, Hollis Center, ME 04042-3609 | 2007-01-31 |
| 1548255334 | Robert Kenneth Oldham | Internal Medicine | 601 Redstone Ave W, Crestview, FL 32536-6439 | 2005-09-17 |
| 1831685536 | Robert Tanner Oldham | Dentist | 5000 Old Buncombe Rd Ste 50, Greenville, SC 29617-8208 | 2018-07-05 |
| 1578554101 | Robert Anthony Oldham | Physician Assistant | 603 Ne 2nd St, Antlers, OK 74523 | 2005-11-02 |
| Street Address |
142 E CALIFORNIA AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93706-3642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306497789 | Sona A. Yemenjian | Marriage & Family Therapist | 142 E California Ave, Fresno, CA 93706-3642 | 2019-09-26 |
| 1134681828 | Sharmaine Whitten | Marriage & Family Therapist | 142 E California Ave, Fresno, CA 93706-3642 | 2019-04-02 |
| 1881017341 | Hillary Leroux | Marriage & Family Therapist | 142 E California Ave, Fresno, CA 93706 | 2014-02-03 |
| 1053742858 | Amy Timmons | Marriage & Family Therapist | 142 E California Ave, Fresno, CA 93706-3642 | 2013-12-03 |
| 1932442845 | Lucia Avila-martinez | Marriage & Family Therapist | 142 E California Ave, Fresno, CA 93706-3642 | 2013-03-28 |
| 1205102878 | Vanessa Verduzco | Marriage & Family Therapist | 142 E California Ave, Fresno, CA 93706-3642 | 2012-03-28 |
| 1639442478 | Laurel J Medlock | Case Manager/Care Coordinator | 142 E California Ave, Fresno, CA 93706-3642 | 2012-02-09 |
| 1073895462 | Erika Hernandez | Counselor | 142 E California Ave, Fresno, CA 93706-3642 | 2011-09-13 |
| 1649575200 | Christine Anne Mulholland | Marriage & Family Therapist | 142 E California Ave, Fresno, CA 93706-3642 | 2011-01-12 |
| 1083936785 | Fresno County Department of Behavioral Health | Preferred Provider Organization | 142 E California Ave, Fresno, CA 93706 | 2010-02-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
| 1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1821567538 | Misty Dawn Shepherd | Counselor | 2772 Martin L King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1497224125 | Jose Jimenez | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1023587730 | James John Pokorny IIi | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1932574225 | Brandi Leos | Counselor | 2772 Mlk Jr. Blvd, Fresno, CA 93706 | 2015-12-11 |
| 1174998199 | Jeremiah Hinojosa | Counselor | 2772 S M.l.k. Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| 1538534557 | Megan Mahoney | Counselor | 2772 S Martin Luther King Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| Find all providers in zip 93706 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912380932 | Saoda Shuara | Psychiatry & Neurology | 7780 N Fresno St Ste 105, Fresno, CA 93720-2413 | 2015-07-08 |
| 1356759088 | George P. Rowell, M.d., Inc. | Psychiatry & Neurology | 1330 L St Ste E, Fresno, CA 93721-1717 | 2014-07-25 |
| 1104136803 | Melinda Jane Tyler | Psychiatry & Neurology | Uplift Family Services, 6051 N Fresno Street, Suite 201, Fresno, CA 93710 | 2010-10-14 |
| 1063698884 | Lana P. Williams | Psychiatry & Neurology | 1322 E. Shaw Ave., 410, Fresno, CA 93710-7904 | 2008-01-10 |
| 1437347721 | The Fresno Center | Psychiatry & Neurology | 4855 E Kings Canyon Rd, Fresno, CA 93727-3811 | 2007-10-11 |
| 1497965073 | Glenn Kikuya Ikawa | Psychiatry & Neurology | 575 E Locust Ave Ste 311, Fresno, CA 93720-2928 | 2007-05-23 |
| 1164634572 | George Pearson Rowell | Psychiatry & Neurology | 1330 L St, Suite E, Fresno, CA 93721-1717 | 2007-05-06 |
| 1083739767 | Paul J Markovitz | Psychiatry & Neurology | 7409 N Cedar Avenue, Suite 101, Fresno, CA 93720 | 2007-03-20 |
| 1003940214 | Aria Renee Torii | Psychiatry & Neurology | Fresno County Department of Mental Health Services, 4441 E Kings Canyon Rd, Fresno, CA 93703 | 2007-03-16 |
| 1164558615 | Sam A Castro | Psychiatry & Neurology | 333 W Shaw #7, Fresno, CA 93704-2657 | 2007-02-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.