Polly Blake Dunn, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1041 Issued in AL

Practice address

3320 Skyway Dr
Suite 801
Opelika, AL 36801-7137

Phone

(334) 742-9102

Fax

(334) 742-9103

NPI assigned

Feb 8, 2007

Last updated

Sep 29, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Dunn Psychological Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Auburn, AL
  • NPI 1477106417
  NPD Authorized official
• Psychological Assessment Center, LLC

  • Clinical Psychologist
  • Opelika, AL
  • NPI 1942677513
  NPD Authorized official

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1114068855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 SKYWAY DR",
            "address_2": "SUITE 801",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017137",
            "telephone_number": "334-742-9102",
            "fax_number": "334-742-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 SKYWAY DR",
            "address_2": "SUITE 801",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017137",
            "telephone_number": "334-742-9102",
            "fax_number": "334-742-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "POLLY",
        "middle_name": "BLAKE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "1041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALA. PROVIDER #",
            "identifier": "51504767",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Matthew Drake
• DRS. Tatum and Cox
• Frank David Druhan, M.D.
• Katelyn Ducker, DO
• Morgan Duke, CRNP
• Shourik Dutta, DO
• Rachael Jones Dyas, DPT
• E-Core Med, Inc
• Eamc ER Physicians
• Eamc Eye Clinic, LLC

• Psychologist in Opelika, AL
• Providers in Opelika, AL by specialty
• Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.