Arcadia Psychology
Organization Active NPI Clinical Psychologist · Phoenix, AZ
NPI 1225411432 · NPPES record last updated Jul 12, 2015
Key facts
- NPI
- 1225411432
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 3399 (AZ)
- Legal business name
- ARCADIA PSYCHOLOGY
- Practice address
- 5090 N 40TH St
Suite 190a
Phoenix, AZ 85018-2111 - Phone
- (602) 621-0468
- Fax
- (602) 954-5245
- NPI assigned
- Jul 7, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Joan Marie Polansky, PHD
- Title
- Psychologist
- Phone
- (602) 621-0468
Practitioners 1
-
Joan Marie Polansky, PH.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150724012187 | AZ | Part B Supplier - Clinic/Group Practice | 2163735713 |
Receives reassigned benefits from 1 practitioner Practice locations: Scottsdale, AZ |
National Provider Directory
Locations
5090 N 40th St
Ste 190A
Phoenix, AZ 85018
Phone (602) 621-0468
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | 3399 | AZ | Yes |
Addresses
Primary practice location
5090 N 40TH St
Suite 190a
Phoenix, AZ 85018-2111
Mailing address
5090 N 40TH St
Suite 190a
Phoenix, AZ 85018-2111
Phone (602) 621-0468
Other names
- Joan Polansky
Other providers in Phoenix, AZ
- Arcadia Neuropsychology, PLLC
- Arcadia Omfs LLC
- Arcadia Physicians Travel Clinic
- Arcadia Physicians Travel Clinic
- Arcadia Psychiatry and Wellness, PLLC
- Arcadia Radiology & Breast Center
- Arcadia Smiles LLC
- Arcadia Therapy Services of Arizona, Inc.
- Arcadia Women'S Wellness PLLC
- Arcadia Wound Care LLC
All providers in Phoenix, AZ · Clinical Psychologist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.