Active NPI
David Pollens, PH.D.
- Psychologist
- New York, NY
National Provider Identifier
1144737289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0115991
- Practice address
- 155 East 91St Street
Suite 1C
New York, NY 10128 - Phone
- (212) 427-8866
- NPI assigned
- Jan 10, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalysis Psychologist | 103TP0814X | |||
| Psychologist | 103T00000X | 0115991 | NY | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X |
Addresses
Primary practice location
155 East 91St Street
Suite 1C
New York, NY 10128
Mailing address
155 East 91St Street
Suite 1C
New York, NY 10128
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0115991 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515542400000",
"number": "1144737289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 EAST 91ST STREET",
"address_2": "SUITE 1C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 EAST 91ST STREET",
"address_2": "SUITE 1C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10128",
"telephone_number": "212-427-8866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLENS",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-10",
"last_updated": "2018-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "0115991",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.