Yaakov Y Polter, M.S. LLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401016245 Issued in MI

Practice address

17320 W 12 Mile Rd
Southfield, MI 48076-2100

Phone

(248) 727-3456

NPI assigned

Apr 5, 2019

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Southfield Mental Health Associates PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Southfield, MI
  • NPI 1619015872
  NPD (past)

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1285196402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17320 W 12 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762100",
            "telephone_number": "248-200-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17320 W 12 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762100",
            "telephone_number": "248-727-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLTER",
        "first_name": "YAAKOV",
        "middle_name": "Y",
        "credential": "M.S. LLPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401016245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Pollack, CSW
• Mitchell Z Pollak, MD
• Kellie Pollard-Rahaming, LPN
• Esther Golda Polter, MSW
• Liba Polter, LMSW
• Polyclinic Associates PC
• Amanda Marie Poncil, LMSW
• Peter Ponomarev
• Mavis Gail Pookrum
• Devin Poole

• Mental Health Counselor in Southfield, MI
• Providers in Southfield, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.