DR. ANASTASIA JEAN BULLOCK (NPI# 1619480795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619480795 |
| Entity Type | Individual |
| Full Name | DR. ANASTASIA JEAN BULLOCK |
| Other Name | ANASTASIA JEAN SOKOL |
| Credential | PSY.D. |
| Practice Address |
1 Cooper Plz Camden NJ 08103-1461 |
| Mailing Address |
1 Federal St Camden NJ 08103-1088 |
| Practice Telephone | 8563422000 |
| Mailing Telephone | 8563564924 |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 35SI00586700 | NJ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3 Cooper Plz, Camden, NJ 081031438 | 8563422000 |
| Street Address |
1 COOPER PLZ |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230911 | Daniel Kwa | Acupuncturist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2005-07-26 |
| 1053910927 | Shane Aldon Cooper | Nurse Practitioner | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-10-22 |
| 1396351722 | Christopher Alexander Rivera-pintado | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-09-21 |
| 1285252361 | Dhaval Dharmendra Rana | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-06 |
| 1891312195 | Vincent Verchio | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-02 |
| 1861019036 | Calvin Ro | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-02 |
| 1770100943 | Andrea Villa | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-02 |
| 1376160739 | Kristen Knapp | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-01 |
| 1447874417 | Cassie Seto | Nurse Anesthetist, Certified Registered | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-06-04 |
| 1215551437 | Cooper Care Alliance, PC | Specialist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-06-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114465242 | Michael Bruce Roberts | Psychologist | 401 Haddon Ave Fl 3, Camden, NJ 08103-1505 | 2017-02-09 |
| 1831221944 | Debra L Davenport | Psychologist | 198 W Main St, Camden, TN 38320-1609 | 2007-03-12 |
| 1043229487 | Sabine S. Falls | Psychologist | 530 Jefferson St Sw, Camden, AR 71701-3952 | 2006-08-05 |
| 1285666321 | Vicky L Willey | Psychologist | 39 Mechanic St, Suite 221, Camden, ME 04843-1842 | 2006-07-07 |
| 1467499749 | Gregory M Chilenski | Psychologist | 71 Elm St, Camden, ME 04843-1904 | 2006-06-02 |
| 1497224414 | Michael Deangelo | Psychologist | 3 Cooper Plz Rm 513, Camden, NJ 08103 | 2018-11-20 |
| 1275001646 | Christina L. Goodwin | Psychologist | 3 Cooper Plz Rm 307, Camden, NJ 08103 | 2018-11-05 |
| 1427537489 | Neuza Serra | Psychologist | 326 Penn St, Camden, NJ 08102-1410 | 2018-08-10 |
| 1104281112 | Merin Campbell | Psychologist | 3 Cooper Plz, Cooper Neurological Institute, Camden, NJ 08103-1438 | 2015-12-17 |
| 1801265483 | Elizabeth Saslow | Psychologist | 3 Cooper Plz, Suite 200, Camden, NJ 08103-1438 | 2015-09-24 |
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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.