Provider Demographics
NPI:1689729048
Name:ROCKERS, DANIEL M (PHD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:M
Last Name:ROCKERS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 19594
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-0594
Mailing Address - Country:US
Mailing Address - Phone:916-273-1740
Mailing Address - Fax:916-446-7159
Practice Address - Street 1:2530 J ST STE 310
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-4849
Practice Address - Country:US
Practice Address - Phone:916-273-1740
Practice Address - Fax:916-822-4835
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY15910103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOPL159102Medicare UPIN