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Anastasia Jean Bullock, PSY.D.

NPI 1619480795ActiveIndividual· Psychologist· Camden, NJ

Psychologist (PSY.D.) with Cooper Physician Offices PA, practicing in Camden, New Jersey. Medicare paid $15,231 for services to 113 patients in 2024. Lists Cooper University Hospital as a hospital affiliation.

Overview

NPI1619480795
StatusActive
Entity typeIndividual
CredentialPSY.D.
Sole proprietorNo
NPI issuedNov 10, 2017
Last updated in NPPESOct 9, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000X35SI00586700NJ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Psychologist (NJ)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients113
Services billed137 across 7 procedure codes
Paid by Medicare$15,231

Medicare sources and data years

Education and affiliations

Graduation year2016
Medicare specialtyClinical Psychologist

Medical group

Hospital affiliation

Source: CMS Care Compare

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