DR. CHESTER WAYNE BULLOCK JR. PSYD, MED
NPI 1003043696
Psychologist in Washington, DC

Active since June 22, 2009
910 17TH ST NW STE 419, WASHINGTON, DC 20006(202) 505-2795 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2022, Mar 18, 2016 (2 updates tracked since 2016).

About Dr. Chester Wayne Bullock Jr. Psyd, Med NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHESTER WAYNE BULLOCK JR. PSYD, MED (NPI 1003043696) is an individual psychologist in Washington, District Of Columbia and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1003043696
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. CHESTER WAYNE BULLOCK JR.Credential: PSYD, MED
Location Address910 17TH ST NW STE 419Washington, DC 20006-2605
Mailing Address910 17th St Nw Ste 419Washington, DC 20006-2605 · (202) 505-2795
Sole ProprietorYes
Enumeration DateJune 22, 2009
Last NPPES UpdateJune 10, 20222 updates tracked since enumeration
NPPES CertifiedJune 10, 2022
NPI 1003043696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
910 17TH ST NW STE 419, Washington, DC 20006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chester Bullock's NPI number?

The NPI number for Chester Bullock is 1003043696. It was assigned to this individual provider in the NPPES registry on June 22, 2009.

Where is Chester Bullock located?

Chester Bullock practices at 910 17th St NW Ste 419, Washington, DC 20006. The listed phone number is (202) 505-2795.

What is Chester Bullock's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Chester Bullock was last updated on June 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.