JACQUELINE DAWN BOCK PHD
NPI 1427095900
Psychologist in Kenai, AK

Active since June 01, 2006Opted out of Medicare · through Jan 1, 2027
215 FIDALGO AVE, SUITE 104, KENAI, AK 99611(907) 335-4466(907) 335-4467 Get Directions Write a Review

NPPES record last updated: May 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Dawn Bock Phd NPPES

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

JACQUELINE DAWN BOCK PHD (NPI 1427095900) is an individual psychologist in Kenai, Alaska, licensed in Alaska (561) and active in the NPI registry since June 2006. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1427095900
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJACQUELINE DAWN BOCKCredential: PHD
Location Address215 FIDALGO AVE, SUITE 104Kenai, AK 99611-7751
Mailing Address47294 Progress Ct, Ste CSoldotna, AK 99669-8322 · (907) 262-4470 · Fax (907) 262-4467
Fax(907) 335-4467
Sole ProprietorYes
Enumeration DateJune 1, 2006
Last NPPES UpdateMay 3, 2016
NPI 1427095900 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 AK · 561
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.
215 FIDALGO AVE, Kenai, AK 99611

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jacqueline Dawn Bock Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2019 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2019
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

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

Counselor (Mental Health)
215 FIDALGO AVE
KENAI, AK 99611
Psychologist (Clinical)
215 FIDALGO AVE
KENAI, AK 99611

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 Jacqueline Bock's NPI number?

The NPI number for Jacqueline Bock is 1427095900. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Jacqueline Bock located?

Jacqueline Bock practices at 215 Fidalgo Ave Suite 104, Kenai, AK 99611. The listed phone number is (907) 335-4466.

What is Jacqueline Bock's specialty?

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

Is Jacqueline Bock enrolled in Medicare?

No. Jacqueline Bock has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jacqueline Bock accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jacqueline Bock 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 Jacqueline Bock was last updated on May 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.