ALICIA DAWN COCKRUM PSYD
NPI 1962737759
Psychologist in Sonoma, CA

Active since October 12, 2009PECOS Enrolled
255 W NAPA ST STE K, SONOMA, CA 95476(707) 816-2400 Get Directions Write a Review

NPPES record last updated: December 12, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alicia Dawn Cockrum Psyd NPPES

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

ALICIA DAWN COCKRUM PSYD (NPI 1962737759) is an individual psychologist in Sonoma, California and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Santa Cruz.

NPPES Registry Identity

NPI1962737759
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameALICIA DAWN COCKRUMCredential: PSYD
Location Address255 W NAPA ST STE KSonoma, CA 95476-6546
Mailing Address255 W Napa St Ste KSonoma, CA 95476-6546 · (707) 816-2400
Sole ProprietorYes
Enumeration DateOctober 12, 2009
Last NPPES UpdateDecember 12, 2018
NPI 1962737759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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 ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY23519 (CA)
Also ListedPsychologist · FamilyTaxonomy 103TF0000X
Also ListedPsychologist · HealthTaxonomy 103TH0004X
Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X
255 W NAPA ST STE K, Sonoma, CA 95476

Other Names 1

Former Name (1)Alicia Dawn Bunten

Secondary Practice Location 1

Location 11400 Emeline AveSanta Cruz, CA 95060-1976 · Phone (831) 454-4170 · Fax (831) 454-4663

Other Identifiers 1

Medicaid268623CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Alicia Dawn Cockrum Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Alicia Cockrum's NPI number?

The NPI number for Alicia Cockrum is 1962737759. It was assigned to this individual provider in the NPPES registry on October 12, 2009. The provider is also known as Alicia Dawn Bunten.

Where is Alicia Cockrum located?

Alicia Cockrum practices at 255 W Napa St Ste K, Sonoma, CA 95476. The listed phone number is (707) 816-2400.

What is Alicia Cockrum's specialty?

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

Is Alicia Cockrum enrolled in Medicare?

Yes. Alicia Cockrum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alicia Cockrum was last updated on December 12, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.