Carla M Polcyn, MD123158

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

171642 Issued in NY

Practice address

61 Smith Ave
Mount Kisco, NY 10549-2813

Phone

(914) 666-3355

NPI assigned

May 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154536803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 SMITH AVE",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492813",
            "telephone_number": "914-666-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 SMITH AVE",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492813",
            "telephone_number": "914-666-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLCYN",
        "first_name": "CARLA",
        "middle_name": "M",
        "credential": "MD123158",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "171642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plastic & Reconstructive Surgery, P.C.
• Camille Platzek, REGISTERED NURSE
• Playmates Behavior Analysis
• Pleasantville Physical Therapy Sports Care PC,
• Daniil Pogosov, PHARMD
• Kristen Eve Pollack-Dorta, PH.D.
• Barbara Polowczyk, FNP
• Yelena Polyakova, D.C.
• Michelle Rachel Popkin, MD
• Ariel Walsh Porteus, CASAC-T

• All providers in Mount Kisco, NY
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.