Susan Pollard

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

296834 Issued in IL

Practice address

1776 Legacy Cir
Naperville, IL 60563-1642

Phone

(630) 653-1000

NPI assigned

Feb 7, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Susan Thompson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Paul J Mullen Psy D P C

  • Clinical Psychologist
  • Naperville, IL
  • NPI 1154756633
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1053683003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 DEERING BAY DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644634",
            "telephone_number": "630-352-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 LEGACY CIR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631642",
            "telephone_number": "630-653-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 Naperville Wheaton Rd",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605631557",
            "country_code": "US",
            "telephone_number": "630-352-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-07",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "296834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "THOMPSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jonathan Mark Polcyn, D.C.
• Haidee Maura Polgar, NP
• Nancy Josephine Polich, D.C.
• Marisa Policicchio, CCC-SLP
• Andrea Polites, LCSW
• Renee Pollock
• Eric Keoni Pomazal, PAC
• Raymond M Pongonis Jr., M.D.
• George C Pontikis, M.D.
• Daniel Pope, DDS

• Professional Counselor in Naperville, IL
• Providers in Naperville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.