NPPES file of Aug 9, 2026

Brock Ford Travis, PH.D.

Psychologist · Lakeport, CA

Brock Ford Travis, PH.D. is a psychologist with a practice address in Lakeport, California, and NPI 1417018987, issued on Dec 12, 2006. Check the license (California MENTAL HEALTH WAIVER, as entered in NPPES) with the California board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1417018987
Name
Brock Ford Travis
Credential
PH.D.
Primary taxonomy
Psychologist 103T00000X
License number
MENTAL HEALTH WAIVER CA
Self-reported in NPPES; status is on the state search
Practice location
991 Parallel Dr, Lakeport, CA 95453
Phone
(707) 994-7090
Enumerated
Dec 12, 2006
Record last updated
Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(707) 994-7096
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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8 nearest psychologist records → All 7,304 in California → Look up another NPI →

Also registered at 991 Parallel Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Diane AlcalaMarriage & Family Therapist1457498503
  2. Lisa BermudezMental Health Counselor1427225119
  3. Kathleen Bradley, P. T.Licensed Psychiatric Technician1376690776
  4. Richard Diwald, RASAddiction (Substance Use Disorder) Counselor1861558678
  5. Mary Lou FloydMental Health Counselor1922304526
  6. Laurieg GroggMental Health Counselor1912045758

Verify Brock Ford Travis in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license MENTAL HEALTH WAIVER    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the California license search

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Brock Ford Travis among 7,304 psychologist records in California

Brock Ford Travis, PH.D. is one of 7,304 psychologist records with a practice address in California. 6% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 1% of them.

  • NPI issued2006 · 1% of these records are older, 82% newer
  • In a Medicare fileNo · 6% of these records are
  • In the CMS Doctors and Clinicians fileNo · 14% of these records are
  • Record last updated2007 · 59% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103T00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Psychologist providers in California

There are 7,304 psychologist records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 7,304 in California → Every provider in Lakeport → Psychologist nationwide →

The 8 psychologist records with the nearest ZIP codes

  1. Allison Aclufi, PSYCHOLOGIST PHD EDDLakeport, CA 954531972900124
  2. Erin Dailey, PSYDLakeport, CA 954531366685091
  3. Melissa Flores, PSYDLakeport, CA 954531376925271
  4. Leslye Charlesworth, ED.S., P.P.S.Healdsburg, CA 954481013883586
  5. Paul Hofacker, PH.D.Lucerne, CA 954581598934028
  6. Judith Sill, PHDMendocino, CA 954601881740025
  7. Susan Skolek, PSYDGuerneville, CA 954461114923745
  8. Tori Branch, PSYDGraton, CA 954441972880219

Common questions

What is Brock Ford Travis, PH.D.'s NPI number?

Brock Ford Travis, PH.D.'s National Provider Identifier (NPI) is 1417018987, issued on Dec 12, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Brock Ford Travis, PH.D. located?

The NPPES record lists a practice address at 991 Parallel Dr, Lakeport, CA, 95453. Phone: (707) 994-7090. Providers update this record themselves, so call before visiting.

How can I verify Brock Ford Travis, PH.D.'s license?

NPPES lists California license number MENTAL HEALTH WAIVER, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.