Cynthia M Polance, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1997 Issued in OR

Practice address

7912 SW 35TH Ave Ste 3
Portland, OR 97219-2427

Phone

(503) 278-4970

Fax

(503) 447-6640

NPI assigned

Apr 24, 2009

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

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

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.

• Western Psychological and Counseling Services LLC

  • Clinical Psychologist
  • Tacoma, WA
  • NPI 1912008178

  OR

  Medicare reassignment NPD
• Cynthia Polance Psychology

  • Clinical Psychologist
  • Portland, OR
  • NPI 1164042636
  NPD Authorized official
• Western Psychological and Counseling Services LLC

  • Clinical Psychologist
  • Vancouver, WA
  • NPI 1629345731
  NPD

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1245474949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7912 SW 35TH AVE STE 3",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192427",
            "telephone_number": "503-278-4970",
            "fax_number": "503-447-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7912 SW 35TH AVE STE 3",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192427",
            "telephone_number": "503-278-4970",
            "fax_number": "503-447-6640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7507 NE 51st St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986626007",
            "country_code": "US",
            "telephone_number": "360-906-1190",
            "fax_number": "360-906-1193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLANCE",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-24",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500770354",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.identillect.com",
            "affiliation": "N",
            "address_1": "7912 SW 35th Ave Ste 3",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972192427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Points for You Acupuncture
• Points of Health Acupuncture, LLC
• Craig D. Poirot, QMHA CADC CLC
• Mackenzie Poisal, CSWA
• Adam Polan, DMD
• Sara Polanco, ND
• Adam Polansky, LAC
• Denise Marie Polaski, MD
• Mustafa Fazil Polat, MD
• Jason Michael Polder, M.D.

• Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.