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Theodor Ene, m.d.

Psychiatry & Neurology, Child & Adolescent Psychiatry in Providence, RI. Individual provider (NPI-1).

NPI number1629235486
StatusActive
Last updated in NPPESMay 18, 2016

Details

NPI
1629235486
Entity type
Individual (NPI-1)
Name
Theodor Ene
Credential
m.d.
Sex
Male
Sole proprietor
No
Enumeration date
May 20, 2008
Last updated
May 18, 2016

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PSYCHIATRY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084P0804X Psychiatry & Neurology, Child & Adolescent PsychiatryMD14263RIYes
2084P0800X Psychiatry & Neurology, Psychiatry238333MA
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry238333MA
2084P0800X Psychiatry & Neurology, PsychiatryMD14263RI

Practice location

345 Blackstone Blvd
Providence, RI 02906-4800

Phone 401-455-6200 · Fax 401-455-6309

Mailing address

345 Blackstone Blvd
Providence, RI 02906-4800

Phone 401-455-6200 · Fax 401-455-6309

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Child & Adolescent Psychiatry Physician providers in Providence, RI

All 38 Child & Adolescent Psychiatry Physician providers in Providence · All 11,044 providers in Providence

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