DR. KEVIN KUKOLECK PSYD
NPI 1295821171
Psychologist - Clinical in Travis Afb, CA

Q: What is Kevin Kukoleck's NPI number?

The NPI number for Kevin Kukoleck is 1295821171. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Q: What is Kevin Kukoleck's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Kukoleck was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since October 05, 2006PECOS Enrolled

101 BODIN CIR, TRAVIS AFB, CA 94535(707) 423-5174 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 25, 2024, Sep 23, 2021, Aug 2, 2019 (3 updates tracked since 2019).

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About Dr. Kevin Kukoleck Psyd NPPES

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

DR. KEVIN KUKOLECK PSYD (NPI 1295821171) is an individual clinical provider in Travis Afb, California, licensed in California (29905) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295821171

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KEVIN KUKOLECKCredential: PSYD

Location Address101 BODIN CIRTravis Afb, CA 94535-1809

Mailing Address101 Bodin CirTravis Afb, CA 94535-1809 · (707) 423-5174

Phone(707) 423-5174

Sole ProprietorYes

Enumeration DateOctober 5, 2006

Last NPPES UpdateSeptember 25, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2024

✔ NPI 1295821171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in CA · 29905✔ Licensed in OH · 08214

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

101 BODIN CIR, Travis Afb, CA 94535

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin Kukoleck Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94535 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$191.95 typical visit price

range $65.02 – $191.95

Typical copayment $47.98 (range $16.25 – $47.98)

Most-billed visit code 99205

Established Patient

$113.05 typical visit price

range $21.86 – $157.69

Typical copayment $28.26 (range $5.46 – $39.42)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDWARD SEAN RODRIGUEZ I.D.M.T

Military Health Care Provider (Independent Duty Medical Technicians)

101 BODIN CIR
TRAVIS AFB, CA 94535

Solano County (707) 423-5478

KENDRA MONICA HILL PT

Physical Therapist

101 BODIN CIR
TRAVIS AFB, CA 94535

Solano County (707) 423-3000

TIMOTHY GUENTHER MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

101 BODIN CIR
TRAVIS AFB, CA 94535

Solano County (707) 423-3000

ANGELA GIESE MD

Surgery (Vascular Surgery)

101 BODIN CIR
FAIRFIELD, CA 94535

Solano County (707) 423-3000

DR. JOSCELYN D. A. C. AQUININGOC PHARMD

Pharmacist

101 BODIN CIR
TRAVIS AFB, CA 94535

Solano County (626) 297-8649

CATHERINE CELINE BRANSTETTER

Dentist (General Practice)

101 BODIN CIR
TRAVIS AFB, CA 94535

Solano County (707) 423-7085

MEGAN ELIZABETH LEE MD

Student in an Organized Health Care Education/Training Program

101 BODIN CIR
FAIRFIELD, CA 94535

Solano County (707) 423-3000

DR. STEVEN DANIEL DEMARTINI M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

101 BODIN CIR
TRAVIS AFB, CA 94535

Solano County (707) 423-3000

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 Kevin Kukoleck's NPI number?

The NPI number for Kevin Kukoleck is 1295821171. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Kevin Kukoleck located?

Kevin Kukoleck practices at 101 Bodin Cir, Travis Afb, CA 94535. The listed phone number is (707) 423-5174.

What is Kevin Kukoleck's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kevin Kukoleck enrolled in Medicare?

Yes. Kevin Kukoleck is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Kukoleck accept?

Health plans from CareSource and MedMutual list Kevin Kukoleck as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Kukoleck was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.