MR. BRETT ELIAS KOCIOL PSY.D.
NPI 1770891277
Psychologist - Clinical in San Jose, CA

Active since September 17, 2010Opted out of Medicare · through Oct 1, 2026
3507 PALMILLA DR UNIT 2118, SAN JOSE, CA 95134(408) 691-5498 Get Directions Write a Review

NPPES record last updated: August 11, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Brett Elias Kociol Psy.d. NPPES

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

MR. BRETT ELIAS KOCIOL PSY.D. (NPI 1770891277) is an individual clinical provider in San Jose, California, licensed in California (PSY26382) and active in the NPI registry since September 2010. He has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1770891277
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMR. BRETT ELIAS KOCIOLCredential: PSY.D.
Location Address3507 PALMILLA DR UNIT 2118San Jose, CA 95134-2266
Mailing Address3507 Palmilla Dr Unit 2118San Jose, CA 95134-2266 · (408) 691-5498
Sole ProprietorYes
Enumeration DateSeptember 17, 2010
Last NPPES UpdateAugust 11, 2014
NPI 1770891277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY26382
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3507 PALMILLA DR UNIT 2118, San Jose, CA 95134

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mr. Brett Elias Kociol Psy.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 October 1, 2022 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2022
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Brett Kociol's NPI number?

The NPI number for Brett Kociol is 1770891277. It was assigned to this individual provider in the NPPES registry on September 17, 2010.

Where is Brett Kociol located?

Brett Kociol practices at 3507 Palmilla Dr Unit 2118, San Jose, CA 95134. The listed phone number is (408) 691-5498.

What is Brett Kociol's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Brett Kociol enrolled in Medicare?

No. Brett Kociol has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Brett Kociol was last updated on August 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.