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

NPI Status: Active since September 17, 2010

Contact Information

3507 PALMILLA DR UNIT 2118
SAN JOSE, CA
ZIP 95134
Phone: (408) 691-5498

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  • Individual
  • Male
  • Psychologist
  • Clinical
  • Opted-Out Medicare

About BRETT KOCIOL

This page provides the complete NPI Profile along with additional information for Brett Kociol, a provider established in San Jose, California with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1770891277 assigned on September 2010. The practitioner's primary taxonomy code is 103TC0700X with license number PSY26382 (CA). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1770891277
Provider Name
MR. BRETT ELIAS KOCIOL PSY.D.
Gender
Male
Entity Type
Individual
Location Address
3507 PALMILLA DR UNIT 2118 SAN JOSE, CA 95134
Location Phone
(408) 691-5498
Mailing Address
3507 PALMILLA DR UNIT 2118 SAN JOSE, CA 95134
Mailing Phone
(408) 691-5498
Is Sole Proprietor?
Yes
Enumeration Date
09-17-2010
Last Update Date
08-11-2014
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A clinical psychologist like Brett Kociol assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Brett Kociol opted out of Medicare effective on 10-01-2022 until 10-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
PSY26382
License State
CA
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 10-01-2022

  • Opt-Out End Date: 10-01-2026

  • Eligible to Order and Refer? No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1770891277, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 8 → 16 → 7 1 → 2 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 4 + 0 + 1 + 6 + 9 + 2 + 2 + 1 + 4 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1770891277.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770891277, enumerated as an "individual" on September 17, 2010.

The provider is located at 3507 PALMILLA DR UNIT 2118 SAN JOSE, CA 95134 and the phone number is (408) 691-5498.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.