DR. WILLIAM MICHAEL BROCK PH.D.
NPI 1548361744
Psychologist in San Diego, CA

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
3435 CAMINO DEL RIO S, SUITE 205, SAN DIEGO, CA 92108(619) 665-2125(619) 528-8350 Get Directions Write a Review

NPPES record last updated: August 22, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. William Michael Brock Ph.d. NPPES

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

DR. WILLIAM MICHAEL BROCK PH.D. (NPI 1548361744) is an individual psychologist in San Diego, California, licensed in California (PSY8466) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1548361744
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. WILLIAM MICHAEL BROCKCredential: PH.D.
Location Address3435 CAMINO DEL RIO S, SUITE 205San Diego, CA 92108-3902
Mailing Address3401 Adams Ave, A174San Diego, CA 92116-2490 · (619) 665-2125 · Fax (619) 528-8350
Fax(619) 528-8350
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateSeptember 26, 2006
Last NPPES UpdateAugust 22, 2007
NPI 1548361744 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 CA · PSY8466
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.
3435 CAMINO DEL RIO S, San Diego, CA 92108

Other Identifiers 3

Medicare ID-Type UnspecifiedCP8466ACA · Medicare
MedicaidPSY084660CA
MedicaidCP8466CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. William Michael Brock Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547168551
PECOS Enrollment IDI20031229000959
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 13

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

Counselor (Mental Health)
3435 CAMINO DEL RIO S, SUITE 310
SAN DIEGO, CA 92108
Marriage & Family Therapist
3435 CAMINO DEL RIO S, SUITE 205
SAN DIEGO, CA 92108
Marriage & Family Therapist
3435 CAMINO DEL RIO S, 310
SAN DIEGO, CA 92108
Marriage & Family Therapist
3435 CAMINO DEL RIO S, SUITE 338
SAN DIEGO, CA 92108
Marriage & Family Therapist
3435 CAMINO DEL RIO S, SUITE 336
SAN DIEGO, CA 92108
Acupuncturist
3435 CAMINO DEL RIO S, 307
SAN DIEGO, CA 92108
Social Worker
3435 CAMINO DEL RIO S, STE 122
SAN DIEGO, CA 92108
Clinic/Center (Adult Mental Health)
3435 CAMINO DEL RIO S, SUITE # 107
SAN DIEGO, CA 92108

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 William Brock's NPI number?

The NPI number for William Brock is 1548361744. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is William Brock located?

William Brock practices at 3435 Camino Del Rio S Suite 205, San Diego, CA 92108. The listed phone number is (619) 665-2125.

What is William Brock's specialty?

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

Is William Brock enrolled in Medicare?

Yes. William Brock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for William Brock was last updated on August 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.