Active NPI
Sylvia W. Pollock, PH.D.
- Psychologist
- North Conway, NH
National Provider Identifier
1295898708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1088
- Practice address
- 2977 White Mountain Hwy
North Conway, NH 03860-5111 - Phone
- (603) 447-4258
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1088 | NH | Primary |
Addresses
Primary practice location
2977 White Mountain Hwy
North Conway, NH 03860-5111
Mailing address
PO Box 2272
Conway, NH 03818-2272
Phone (603) 447-4258
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06Y010583NH01 | Other | NH | ANTHEM INDEMNITY |
| 06Y010583NH01 | Other | ANTHEM MANAGED CARE | |
| 06Y010583NH01 | Other | NH | BCBSNH NEW ENGLAND |
| 30424631 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1088 | NH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295898708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2272",
"city": "CONWAY",
"state": "NH",
"postal_code": "038182272",
"telephone_number": "603-447-4258",
"fax_number": "603-447-8907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2977 WHITE MOUNTAIN HWY",
"city": "NORTH CONWAY",
"state": "NH",
"postal_code": "038605111",
"telephone_number": "603-447-4258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLOCK",
"first_name": "SYLVIA",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NH",
"license": "1088",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM INDEMNITY",
"identifier": "06Y010583NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM MANAGED CARE",
"identifier": "06Y010583NH01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNH NEW ENGLAND",
"identifier": "06Y010583NH01",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30424631",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Conway, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.