DR. JILL D POLLOCK PSYD
NPI 1376614784
Psychologist in Pueblo, CO

Active since November 10, 2006PECOS Enrolled
1115 N GRAND AVE, STE 100, PUEBLO, CO 81003(719) 562-4414(719) 562-4415 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jill D Pollock Psyd NPPES

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

DR. JILL D POLLOCK PSYD (NPI 1376614784) is an individual psychologist in Pueblo, Colorado, licensed in Colorado (2010) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376614784
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JILL D POLLOCKCredential: PSYD
Location Address1115 N GRAND AVE, STE 100Pueblo, CO 81003
Mailing Address1115 N Grand Ave, Ste 100Pueblo, CO 81003 · (719) 562-4414 · Fax (719) 562-4415
Fax(719) 562-4415
Sole ProprietorNo
Enumeration DateNovember 10, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1376614784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CO · 2010
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.

1115 N GRAND AVE, Pueblo, CO 81003

Other Identifiers 2

Medicare ID-Type UnspecifiedC62116
Medicaid035311CO

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. Jill D Pollock 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.

Other Providers at the Same Location NPPES 10

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

Counselor (Professional)
1115 N GRAND AVE
PUEBLO, CO 81003
Psychiatry & Neurology (Psychiatry)
1115 N GRAND AVE
PUEBLO, CO 81003
Marriage & Family Therapist
1115 N GRAND AVE, SUITE 201
PUEBLO, CO 81003
Community/Behavioral Health
1115 N GRAND AVE, SUITE 100
PUEBLO, CO 81003
Community/Behavioral Health
1115 N GRAND AVE
PUEBLO, CO 81003
Clinic/Center (Adult Mental Health)
1115 N GRAND AVE
PUEBLO, CO 81003
Nurse Practitioner (Psychiatric/Mental Health)
1115 N GRAND AVE
PUEBLO, CO 81003
Nurse Practitioner (Psychiatric/Mental Health)
1115 N GRAND AVE
PUEBLO, CO 81003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376614784, enumerated as an "individual" on November 10, 2006.

The provider is located at 1115 N GRAND AVE STE 100 PUEBLO, CO 81003 and the phone number is (719) 562-4414.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.