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DR. DANIEL BROCKETT M.D.
NPI 1609001718
Psychiatry & Neurology - Psychiatry in San Diego, CA

Active since May 18, 2009Opted out of Medicare · through Jun 17, 2027
1350 COLUMBIA ST, SAN DIEGO, CA 92101(858) 480-1044 Get Directions Write a Review

NPPES record last updated: March 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Daniel Brockett M.d. NPPES

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

DR. DANIEL BROCKETT M.D. (NPI 1609001718) is an individual psychiatry provider in San Diego, California, licensed in California (A84077) and active in the NPI registry since May 2009. He has opted out of Medicare through June 17, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1609001718
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. DANIEL BROCKETTCredential: M.D.
Location Address1350 COLUMBIA STSan Diego, CA 92101-3454
Mailing Address1350 Columbia StSan Diego, CA 92101-3454 · (858) 480-1044
Phone(858) 480-1044
Sole ProprietorYes
Enumeration DateMay 18, 2009
Last NPPES UpdateMarch 25, 2016
✔ NPI 1609001718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A84077
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1350 COLUMBIA ST, San Diego, CA 92101
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Daniel Brockett M.d. 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 June 17, 2015 through June 17, 2027.

Opt-Out Effective DateJune 17, 2015
Opt-Out In Effect ThroughJune 17, 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92101 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
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
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 3

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

RD DIPP DO
Psychiatry & Neurology (Psychiatry)
1350 COLUMBIA ST, UNIT 800
SAN DIEGO, CA 92101
San Diego County (619) 255-1649
IMAGIWILL MED CO
Psychiatry & Neurology (Psychiatry)
1350 COLUMBIA ST, SUITE 800
SAN DIEGO, CA 92101
San Diego County (619) 356-1446
DBH GROUP INC
Psychologist (Clinical)
1350 COLUMBIA ST, 800
SAN DIEGO, CA 92101
San Diego County (727) 674-3593

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 Daniel Brockett's NPI number?

The NPI number for Daniel Brockett is 1609001718. It was assigned to this individual provider in the NPPES registry on May 18, 2009.

Where is Daniel Brockett located?

Daniel Brockett practices at 1350 Columbia St, San Diego, CA 92101. The listed phone number is (858) 480-1044.

What is Daniel Brockett's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Daniel Brockett enrolled in Medicare?

No. Daniel Brockett has opted out of Medicare through June 17, 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.

When was this NPI record last updated?

The NPPES record for Daniel Brockett was last updated on March 25, 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.