Individual provider Active NPI

Stephen K Chock, PH.D.

  • Counseling Psychologist
  • Dallas, TX
National Provider Identifier
1356559637
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2-3764 Issued in TX
Practice address
3505 Gaston Ave
Neuropsychology Dept.
Dallas, TX 75246-2018
Phone
(214) 820-9384
Fax
(214) 820-9259
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 2-3764 TX
Counseling Psychologist 103TC1900X 2-3764 TX Primary

Addresses

Primary practice location

3505 Gaston Ave
Neuropsychology Dept.
Dallas, TX 75246-2018

Mailing address

6821 Colonnade Dr
Plano, TX 75024-6319
Phone (972) 618-7857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091118000709 TX Practitioner - Clinical Psychologist 3779621305 Practice locations: Plano, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Ohio State University College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4888 Dexter Dr
Suite 300B
Plano, TX 75093-5565
Phone (469) 717-0662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2-3764TXMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lattie Psychological Associates PLLC PastSince Oct 21, 2013 Accepting new patients
Cohealth Psychology Services, P.a. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1356559637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 COLONNADE DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750246319",
            "telephone_number": "972-618-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 GASTON AVE",
            "address_2": "NEUROPSYCHOLOGY DEPT.",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462018",
            "telephone_number": "214-820-9384",
            "fax_number": "214-820-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOCK",
        "first_name": "STEPHEN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "2-3764",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "2-3764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.