Deborah L. Pollack, Psychologist, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

017488-1 Issued in NY

Legal business name

DEBORAH L. POLLACK, PSYCHOLOGIST, PC

Practice address

4317 E Genesee St Ste 200
Syracuse, NY 13214-2114

Phone

(315) 396-8398

NPI assigned

Dec 15, 2017

Last updated

Dec 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deborah Lee Pollack, OHD

Title

President

Phone

(315) 396-8398

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1053827899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4317 E GENESEE ST STE 200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132142114",
            "telephone_number": "315-396-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4317 E GENESEE ST STE 200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132142114",
            "telephone_number": "315-396-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH L. POLLACK, PSYCHOLOGIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "POLLACK",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-396-8398",
        "authorized_official_credential": "OHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017488-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Debartelo, BCBA, LBA
• Brittany Debellis
• Nadia A Debick, MD
• Bonnie L Deboer, MS,CCC-SLP
• Travis Debois
• Sean D Deboyace, MD
• Paul Decarlo, CRNA
• Tina M Decarlo
• Christine Ann Decirce, RN
• Jared Deck, MD

• Clinical Psychologist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; 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.