Active NPI
Denise a Mock, PHD, Inc
- Clinical Psychologist
- Paso Robles, CA
National Provider Identifier
1710215876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY17921
- Legal business name
- DENISE A MOCK, PHD, INC
- Practice address
- 1244 Pine St Ste 208
Paso Robles, CA 93446-7240 - Phone
- (805) 237-0058
- NPI assigned
- Dec 1, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Denise A Mock
- Title
- Owner
- Phone
- (805) 237-0058
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY17921 | CA | Primary |
Addresses
Primary practice location
1244 Pine St Ste 208
Paso Robles, CA 93446-7240
Mailing address
1244 Pine St Ste 208
Paso Robles, CA 93446-7240
National Provider Directory
National Provider DirectoryLocations
1244 Pine St
Ste 208
Paso Robles, CA 93446
Phone (805) 237-0058
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Santa Barbara, CA
- NPI 1437288347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259625600000",
"number": "1710215876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1244 PINE ST STE 208",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "934467240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1244 PINE ST STE 208",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "934467240",
"telephone_number": "805-237-0058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENISE A MOCK, PHD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-01",
"last_updated": "2009-12-01",
"status": "A",
"authorized_official_last_name": "MOCK",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "805-237-0058",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY17921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paso Robles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.