Active NPI
Cody L. Bullock, PH.D.
- Clinical Psychologist
- Harlingen, TX
National Provider Identifier
1407124381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP2109
- Practice address
- 2601 Veterans Dr
Dr. Bullock - 116B
Harlingen, TX 78550 - Phone
- (956) 291-9201
- NPI assigned
- Dec 7, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP2109 | KS | Primary |
Addresses
Primary practice location
2601 Veterans Dr
Dr. Bullock - 116B
Harlingen, TX 78550
Mailing address
2601 Veterans Dr
Dr. Bullock - 116B
Harlingen, TX 78550
Phone (956) 291-9201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2109 | KS | MD | Mental Health Counselor |
| LP2109 | KS | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361923200000",
"number": "1407124381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 VETERANS DR",
"address_2": "DR. BULLOCK - 116B",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "78550",
"telephone_number": "956-291-9201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 VETERANS DR",
"address_2": "DR. BULLOCK - 116B",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "78550",
"telephone_number": "956-291-9201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLOCK",
"first_name": "CODY",
"middle_name": "L.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-07",
"last_updated": "2013-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "LP2109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.