Michael Henry Bullock, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS5735 Issued in CA

Practice address

5762 Bolsa Ave
#107
Huntington Beach, CA 92649-1172

Phone

(714) 898-0362

NPI assigned

Jul 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Social Worker

Education

Other, 1970

Medicare assignment

May accept Medicare assignment

Group practices

Associated Therapists IncGroup PAC ID 8921279068, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Associated Therapists, Inc.

  • Psychologist
  • Huntington Beach, CA
  • NPI 1801977319
  Medicare reassignment Care Compare group
• Aspira Wellness & Education Center Inc.

  dba Family Service

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Long Beach, CA
  • NPI 1932114816
  NPD (past)
• Aspiranet

  dba Aspiranet Intensive Community Support

  • Community/Behavioral Health Agency
  • Turlock, CA
  • NPI 1336278928
  NPD (past)
• Autism 360 Support LLC

  • Clinical Social Worker
  • Huntington Beach, CA
  • NPI 1639802382
  NPD (past)

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1407055122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5762 BOLSA AVE",
            "address_2": "#107",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491172",
            "telephone_number": "714-898-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5762 BOLSA AVE",
            "address_2": "#107",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491172",
            "telephone_number": "714-898-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "MICHAEL",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS5735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yenkhanh Bui, PHARMD, MHA
• Elyssa Bukiran
• Maria Jonah Bulandos, NP
• Bull Chiropractic PC
• Brandin Bull, DC
• Zulema Burciaga
• Aaron Burk
• Alex Burke, ATC
• Jessica Burke, DPT
• Lauren M Burney

• Clinical Social Worker in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.