Organization Active NPI

Denise a Mock, PHD, Inc

  • Clinical Psychologist
  • Paso Robles, CA
National Provider Identifier
1710215876
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY17921 Issued in CA
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

Updated by the provider on Dec 1, 2009

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

Authorized official

Name
Dr. Denise A MockNPI 1437288347
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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.