IndividualActive
Brock Travis, PH.D.
NPI 1417018987 · Psychologist · Lakeport, CA
Brock Travis, PH.D. is a Psychologist provider in Lakeport, CA (NPI 1417018987).
Provider details
- NPI number
- 1417018987
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MENTAL HEALTH WAIVER (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
991 Parallel Dr
Lakeport, CA 95453-5720
Phone: (707) 994-7090
Fax: (707) 994-7096
Street-level locationGet directions
Mailing address
Po Box 1358
Cobb, CA 95426-1358
Registry dates
- Enumerated
- 2006-12-12
- Last updated
- 2007-07-08
Frequently asked questions
- What is Brock Travis's NPI number?
- Brock Travis's National Provider Identifier (NPI) is 1417018987, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brock Travis's specialty?
- Brock Travis is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Brock Travis located?
- Brock Travis's practice location on file with NPPES is 991 Parallel Dr, Lakeport, CA 95453-5720.
- What is Brock Travis's phone number?
- The practice phone number listed in the NPPES registry for Brock Travis is (707) 994-7090.
- Is Brock Travis's NPI active?
- Yes — Brock Travis's NPI (1417018987) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.