Active NPI
Helen E Polak, PSY.D.
- Psychologist
- Glassboro, NJ
National Provider Identifier
1073016127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00567800
- Practice address
- 201 Mullica Hill Rd
Glassboro, NJ 08028-1700 - Phone
- (856) 256-4333
- Fax
- (856) 256-4427
- NPI assigned
- Mar 15, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35SI00567800 | NJ | Primary |
Addresses
Primary practice location
201 Mullica Hill Rd
Glassboro, NJ 08028-1700
Mailing address
201 Mullica Hill Rd
Glassboro, NJ 08028-1700
Phone (856) 256-4333
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 |
|---|---|---|---|
| 35SI00567800 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521072000000",
"number": "1073016127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 MULLICA HILL RD",
"city": "GLASSBORO",
"state": "NJ",
"postal_code": "080281700",
"telephone_number": "856-256-4333",
"fax_number": "856-256-4427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 MULLICA HILL RD",
"city": "GLASSBORO",
"state": "NJ",
"postal_code": "080281700",
"telephone_number": "856-256-4333",
"fax_number": "856-256-4427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLAK",
"first_name": "HELEN",
"middle_name": "E",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-15",
"last_updated": "2018-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00567800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glassboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.