Active NPI
Carol H Pollard, PSYD
- Clinical Psychologist
- San Rafael, CA
National Provider Identifier
1023197654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 19341
- Practice address
- 16 Jeanette Prandi Way
Marin Co Juvenile Hall
San Rafael, CA 94903 - Phone
- (415) 499-6894
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 19341 | CA | Primary |
| Health Service Psychologist | 103TH0100X | PSY19341 | CA |
Addresses
Primary practice location
16 Jeanette Prandi Way
Marin Co Juvenile Hall
San Rafael, CA 94903
Mailing address
763 Crocus Dr
Sonoma, CA 95476
Phone (707) 933-9334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19341 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| PSY19341 | CA | MD | Health Service Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1023197654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "763 CROCUS DR",
"city": "SONOMA",
"state": "CA",
"postal_code": "95476",
"telephone_number": "707-933-9334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 JEANETTE PRANDI WAY",
"address_2": "MARIN CO JUVENILE HALL",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "94903",
"telephone_number": "415-499-6894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLARD",
"first_name": "CAROL",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "19341",
"primary": true
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "CA",
"license": "PSY19341",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.