DR. HENRY CISNEROS PHD NPI 1346411360

NPI Information

  • NPI: 1346411360
  • Provider Name: DR. HENRY CISNEROS, PHD
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 3300 TULLY RD
    SUITE D-5
    MODESTO, CA
    ZIP 95350
  • Phone: (209) 550-7444

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NPI Details

DR. Henry Cisneros, PHD is an addiction (substance use disorder) counselor in Modesto, CA. DR. Henry Cisneros, PHD NPI is 1346411360. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3300 TULLY RD
SUITE D-5
MODESTO, CA
ZIP 95350-836
Phone: (209) 550-7444

The enumeration date for this NPI number is 3/18/2008 and was last updated on 1/27/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2101YP1600XCounselorPastoralNo
3101YS0200XCounselorSchoolNo
4101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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