Tamala Jo Poljak, MA, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

112551 Issued in CA

Practice address

1145 1/2 Nowita PL
Venice, CA 90291-5525

Phone

(323) 420-4223

NPI assigned

Sep 3, 2019

Last updated

Mar 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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 Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Felt Psychotherapy Collective

  • Marriage & Family Therapist
  • Venice, CA
  • NPI 1063114064
  NPD Authorized official

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1306494240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 1/2 NOWITA PL",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902915525",
            "telephone_number": "323-420-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 1/2 NOWITA PL",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902915525",
            "telephone_number": "323-420-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLJAK",
        "first_name": "TAMALA",
        "middle_name": "JO",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "112551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Houses of Los Angeles, Inc.
• Nancy Marie Pierre-Paul, FNP-C
• Sandra Janet Pineda, PHARM.D.
• Allen Pitts
• Anthea Pitysingh
• Pollack Psychotherapy Group, Inc.
• Vanessa Ponce
• Mitesh G Popat, MD
• Caron Sue Post, PHD
• Heidi Potter, SUDRC

• Marriage & Family Therapist in Venice, CA
• Providers in Venice, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.