DR. RANDOLPH F BROCK (NPI# 1134552425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134552425 |
| Entity Type | Individual |
| Full Name | DR. RANDOLPH F BROCK |
| Credential | PSY.D. |
| Practice Address |
3121 Park Ave Suite I Soquel CA 95073-2920 |
| Mailing Address |
3230 Crystal Heights Dr Soquel CA 95073-2517 |
| Practice Telephone | 9546478077 |
| Mailing Telephone | 9546478077 |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-08-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0814X |
Psychologist Specialization: Psychoanalysis |
PSY25407 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3121 PARK AVE SUITE I |
| City | SOQUEL |
| State | CA |
| Zip Code | 95073-2920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194708040 | Anne Bridget Howard | Physical Therapist | 3121 Park Ave, Suite K, Soquel, CA 95073-2920 | 2005-11-23 |
| 1679937924 | Suhas G Kshirsagar | Health Educator | 3121 Park Ave, Ste D, Soquel, CA 95073-2920 | 2016-04-12 |
| 1629494521 | Debra Jill Houston | Marriage & Family Therapist | 3121 Park Ave, Suite K, Soquel, CA 95073 | 2014-03-16 |
| 1710237920 | Qualium Corp | Clinic/Center | 3121 Park Ave, Suite C, Soquel, CA 95073-2920 | 2012-09-14 |
| 1942481312 | Jean Anne Doverspike | Marriage & Family Therapist | 3121 Park Ave, Suite I, Soquel, CA 95073-2920 | 2007-11-14 |
| 1548395692 | Lisa Lin | Acupuncturist | 3121 Park Ave, Ste J, Soquel, CA 95073-2920 | 2007-02-22 |
| 1770629719 | Carol Feinfield Berman | Social Worker | 3121 Park Ave, Suite I, Soquel, CA 95073-2956 | 2007-01-29 |
| 1881779627 | Earl Lebow | Psychologist | 3121 Park Ave, Suite I, Soquel, CA 95073 | 2006-10-26 |
| 1114952629 | Peter Thibodeau | Chiropractor | 3121 Park Ave, B, Soquel, CA 95073-2920 | 2006-07-12 |
| 1235163411 | Aneita Sharples Radov | Marriage & Family Therapist | 3121 Park Ave, Suite I, Soquel, CA 95073-2920 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083963938 | Camille Ditter | Social Worker | 281 Paradise Lane, Soquel, CA 95073 | 2012-09-06 |
| 1811212640 | Rebecca C Hughes | Registered Nurse | 3622 Pringle Lane, Soquel, CA 95073 | 2010-04-05 |
| 1144450966 | Victoria Eagle | Counselor | 2425 Porter Street, #7, Soquel, CA 95073 | 2009-07-15 |
| 1184879405 | Mark Kevin Kalemos | Social Worker | 5905 Soquel Dr #300, Soquel, CA 95073 | 2008-12-01 |
| 1710144845 | Pauline Irene Fillion | Marriage & Family Therapist | 5905 Soquel Dr., Ste 200, Soquel, CA 95073 | 2008-05-16 |
| 1750508362 | Vickie Assunto | Marriage & Family Therapist | 2805 Porter St., Soquel, CA 95073 | 2007-04-18 |
| 1245356286 | Judy Gonzalez | Counselor | 2715 Porter Street, Soquel, CA 95073 | 2007-03-21 |
| 1942330550 | Jasmine Debra Berke | Acupuncturist | 2425 Porter Street, Soquel, CA 95073 | 2007-03-06 |
| 1275690802 | Andrea Beth Wachter | Marriage & Family Therapist | 5905 Soquel Dr 650, Soquel, CA 95073 | 2007-01-02 |
| 1194886606 | Shirley Laden Marcus | Marriage & Family Therapist | 5905 Soquel Drive, Suite 250, Soquel, CA 95073 | 2006-12-12 |
| Find all providers in zip 95073 | ||||
| Taxonomy Code | 103TP0814X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Psychoanalysis |
| (1) A practitioner of psychoanalysis: methods of eliciting from patients their past emotional experiences and their role in influencing their current mental life, in order to discover the conflicts and mechanisms by which their pathologic mental state has been produced and to furnish hints for psychotherapeutic procedures, the method employs free association, recall and interpretation of dreams and interpretation of transference and resistance phenomena; (2) An individual who is educated with a doctor’s degree in psychoanalysis or psychology, trained at an established psychoanalytic institute, and practices or adheres to the principles of psychoanalysis. Psychoanalysis is a form of psychotherapy and a system of investigation for determining and understanding mental processes, which was originally conceived by Sigmund Freud. Psychoanalysis involves the analysis and interpretation of dreams, resistances, and transferences, and uses free association and catharsis. Clinical practice requires licensure. |
| Notes: Sources: (1) Dorlands Illustrated Medical Dictionary, 28th Edition, W.B. Saunders Company: Philadelphia, 1994, p. 1382; (2)American Psychological Association, Washington, DC, 1997, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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| 1457795890 | John P Conger | Psychologist | 851 Regal Rd, Berkeley, CA 94708-1307 | 2013-04-27 |
| 1669717922 | Redlands Psychological Services | Psychologist | 104 E Olive Ave Ste 100, Redlands, CA 92373-5255 | 2012-11-27 |
| 1063796696 | Diana Marcela Carrillo | Psychologist | 2107 N Broadway Ste 207, Santa Ana, CA 92706-2625 | 2011-09-30 |
| 1194986166 | Pamela Jean Power | Psychologist | 927 Princeton St, Santa Monica, CA 90403-2219 | 2008-06-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.