Daniel Polonsky, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.011398 Issued in IL

Practice address

1916 Deercrest LN
Northbrook, IL 60062-5074

Phone

(847) 449-6084

NPI assigned

Jan 27, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Art of Psychology, Inc.Group PAC ID 5395893242, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Art of Psychology, Inc.

  • Psychologist
  • Northbrook, IL
  • NPI 1013152610
  Medicare reassignment Care Compare group NPD
• Gregory Malo PSYD & Associates in Neuropsychology PC

  • Adult Mental Health Clinic/Center
  • Lombard, IL
  • NPI 1932264207

  Clinical Neuropsychologist

  Medicare reassignment NPD
• Cognivia Assessment and Therapy PLLC

  • Clinical Psychologist
  • Northbrook, IL
  • NPI 1144194416
  NPD Authorized official
• Summerville Neuropsychology Center PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1922766526

  Clinical

  NPD (past)

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1174335111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 DEERCREST LN",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625074",
            "telephone_number": "847-449-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 DEERCREST LN",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625074",
            "telephone_number": "847-449-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLONSKY",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "03351",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071.011398",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.011398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Joseph Podsadecki, MD
• Sarah J Polak, RBT-18-65790
• Amy P Pollack, OT
• Alison Rose Pollan
• Mikayla Ilyssa Pollard, MA
• Jerry Matthew Poole, D.P.M.
• Stanley L. Porada, DPM
• Rylie Porretto
• Harriet Emerson Porter, ACSW, LCSW, BCD
• Ericka Potter

• Clinical Psychologist in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.