Provider Demographics
NPI:1801233598
Name:ROBERT A. CHINISCI, PH.D., P.C.
Entity type:Organization
Organization Name:ROBERT A. CHINISCI, PH.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHINISCI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:303-757-4142
Mailing Address - Street 1:4770 E ILIFF AVE
Mailing Address - Street 2:SUITE 234
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-6061
Mailing Address - Country:US
Mailing Address - Phone:303-757-4142
Mailing Address - Fax:303-337-3808
Practice Address - Street 1:4770 E ILIFF AVE
Practice Address - Street 2:SUITE 234
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-6061
Practice Address - Country:US
Practice Address - Phone:303-757-4142
Practice Address - Fax:303-337-3808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO565103G00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty