Katie Sarah Polsky, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 23342 Issued in CA

Practice address

2862 Arden Way
Ste 215a
Sacramento, CA 95825-1389

Phone

(916) 284-1416

NPI assigned

Jun 3, 2010

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

Enrolled in CA

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, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Vantage Point Center for PsychotherapyGroup PAC ID 0749518140, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Vantage Point Center for Psychotherapy

  • Mental Health Counselor
  • Sacramento, CA
  • NPI 1326417056
  Medicare reassignment Care Compare group Authorized official
• Dr. Trisha D Wallis, Psychologist, Apc

  • Clinical Psychologist
  • Sacramento, CA
  • NPI 1346862620
  NPD (past)

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275523200000",
    "number": "1174843924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2862 ARDEN WAY",
            "address_2": "STE 215A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251389",
            "telephone_number": "916-284-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2862 ARDEN WAY",
            "address_2": "STE 215A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251389",
            "telephone_number": "916-284-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLSKY",
        "first_name": "KATIE",
        "middle_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 23342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Byrd Pollard, MD
• Sylvester Lavell Pollard, COUNSELOR
• Hannah Pollmeyer
• Andrew J. Pollock, MD
• Gretel Joyce Pollock, MSW, ACSW
• Isaiah Polstra
• Tatyana Polyak, MD
• Tali Pomerantz
• Wendy Pomerantz, P.A., C , LA,C
• Alyson Kristie Pomeroy

• Clinical Psychologist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.