Active NPI
Denise Allison Mock, PHD
- Clinical Psychologist
- Santa Barbara, CA
National Provider Identifier
1437288347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY17921
- Practice address
- 925 De la Vina
Suite 100
Santa Barbara, CA 93101 - Phone
- (805) 845-4668
- Fax
- (833) 229-2304
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | PSY17921 | CA | Primary |
Addresses
Primary practice location
925 De la Vina
Suite 100
Santa Barbara, CA 93101
Mailing address
925 De la Vina
Suite 100
Santa Barbara, CA 93101
Phone (805) 845-4668
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 |
|---|---|---|---|
| PSY17921 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denise a Mock, PHD, Inc | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Paso Robles, CA
- NPI 1710215876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1437288347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 DE LA VINA",
"address_2": "SUITE 100",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "93101",
"telephone_number": "805-845-4668",
"fax_number": "833-229-2304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 DE LA VINA",
"address_2": "SUITE 100",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "93101",
"telephone_number": "805-845-4668",
"fax_number": "833-229-2304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOCK",
"first_name": "DENISE",
"middle_name": "ALLISON",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY17921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.