DR. DANIEL RAYMOND BROCKETT PH.D.
NPI 1801921333
Psychologist in Southbury, CT

Active since February 23, 2007PECOS EnrolledAccepts Medicare Assignment
2 POMPERAUG OFFICE PARK, SUITE 206-D, SOUTHBURY, CT 06488(203) 264-3050(203) 264-2426 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Daniel Raymond Brockett Ph.d. NPPES

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

DR. DANIEL RAYMOND BROCKETT PH.D. (NPI 1801921333) is an individual psychologist in Southbury, Connecticut, licensed in Connecticut (001851) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1801921333
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. DANIEL RAYMOND BROCKETTCredential: PH.D.
Location Address2 POMPERAUG OFFICE PARK, SUITE 206-DSouthbury, CT 06488-2288
Mailing Address2 Pomperaug Office Park, Suite 206-dSouthbury, CT 06488-2288 · (203) 264-3050 · Fax (203) 264-2426
Fax(203) 264-2426
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateFebruary 23, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1801921333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in CT · 001851
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.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 001851 (CT)

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Daniel Raymond Brockett 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 ID7517115389
PECOS Enrollment IDI20120920000134
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.

Medicare Billing Reassignment

Medicare enrollment records show Daniel Brockett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical Neuropsychologist
2 POMPERAUG OFFICE PARK, SUITE 206D
Southbury, CT 06488
  • Reassigned Medicare billing, Connecticut enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Specialist/Technologist (Athletic Trainer)
2 POMPERAUG OFFICE PARK, SUITE 303
SOUTHBURY, CT 06488
Physical Therapist
2 POMPERAUG OFFICE PARK, SUITE 303
SOUTHBURY, CT 06488
Physical Therapist
2 POMPERAUG OFFICE PARK
SOUTHBURY, CT 06488
Specialist
2 POMPERAUG OFFICE PARK, SUITE 204
SOUTHBURY, CT 06488
Clinic/Center (Physical Therapy)
2 POMPERAUG OFFICE PARK, SUITE 303
SOUTHBURY, CT 06488
Physical Therapist
2 POMPERAUG OFFICE PARK, SUITE 303
SOUTHBURY, CT 06488
Podiatrist
2 POMPERAUG OFFICE PARK, SUITE 106
SOUTHBURY, CT 06488
Psychologist (Clinical)
2 POMPERAUG OFFICE PARK, SUITE 202
SOUTHBURY, CT 06488

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 1801921333. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is Daniel Brockett located?

Daniel Brockett practices at 2 Pomperaug Office Park Suite 206-D, Southbury, CT 06488. The listed phone number is (203) 264-3050.

What is Daniel Brockett's specialty?

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

Is Daniel Brockett enrolled in Medicare?

Yes. Daniel Brockett 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.

Which organization bills Medicare for Daniel Brockett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Brockett reassigns Medicare benefits to Daniel R Brockett Phd LLC (Southbury, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Brockett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Daniel Brockett was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.