MRS. JERRY MOCK PH.D.
NPI 1417959354
Psychologist in Carlisle, PA

Active since August 11, 2005PECOS Enrolled
47 W POMFRET ST, CARLISLE, PA 17013(717) 258-0214(717) 258-3158 Get Directions Write a Review

NPPES record last updated: March 12, 2010. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mrs. Jerry Mock Ph.d. NPPES

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

MRS. JERRY MOCK PH.D. (NPI 1417959354) is an individual psychologist in Carlisle, Pennsylvania, licensed in Pennsylvania (008898L) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417959354
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMRS. JERRY MOCKCredential: PH.D.
Location Address47 W POMFRET STCarlisle, PA 17013-3217
Mailing Address47 W Pomfret StCarlisle, PA 17013-3217 · (717) 258-0214 · Fax (717) 258-3158
Fax(717) 258-3158
Sole ProprietorNo
Enumeration DateAugust 11, 2005
Last NPPES UpdateMarch 12, 2010
✔ NPI 1417959354 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 PA · 008898L
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.
47 W POMFRET ST, Carlisle, PA 17013

Other Identifiers 19

Other7134268PA · Aetna
Other810554001PA · Compsych
Other810554001PA · Quest
Medicaid0017562050002PA
Other122278PA · Value Options
Other810554001PA · Amerihealth
Other810554001PA · Aetna Ppo
Medicare UPINS83600PA
Other01756205PA · Community Beh. Health
Other322506PA · Mhnet
Other485274000PA · Magellan
Other810554001PA · Prime Source
Other01082001PA · Capital Blue Cross
Other595346PA · Highmark Blue Shield
Medicare ID-Type Unspecified063767PA
OtherMO595346PA · Cigna
Other810554001PA · United Healthcare
Other810554001PA · Pacificare
Other810554001PA · Team Eap

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jerry Mock Ph.d. 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 16

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

Counselor
47 W POMFRET ST
CARLISLE, PA 17013
Counselor (Professional)
47 W POMFRET ST
CARLISLE, PA 17013
Counselor (Professional)
47 W POMFRET ST
CARLISLE, PA 17013
Counselor (Mental Health)
47 W POMFRET ST
CARLISLE, PA 17013
Counselor (Professional)
47 W POMFRET ST
CARLISLE, PA 17013
Social Worker (Clinical)
47 W POMFRET ST
CARLISLE, PA 17013
Counselor (Professional)
47 W POMFRET ST
CARLISLE, PA 17013
Counselor (Pastoral)
47 W POMFRET ST
CARLISLE, PA 17013

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 Jerry Mock's NPI number?

The NPI number for Jerry Mock is 1417959354. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Jerry Mock located?

Jerry Mock practices at 47 W Pomfret St, Carlisle, PA 17013. The listed phone number is (717) 258-0214.

What is Jerry Mock's specialty?

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

Is Jerry Mock enrolled in Medicare?

Yes. Jerry Mock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerry Mock was last updated on March 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.