David Victor Polniak, LMFT 99185

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

99185 Issued in CA

Practice address

215 W Madison Ave
El Cajon, CA 92020-3405

Phone

(619) 401-6221

NPI assigned

Oct 29, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573257600000",
    "number": "1386049625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W MADISON AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203405",
            "telephone_number": "619-401-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W MADISON AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203405",
            "telephone_number": "619-401-6221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1738 S Tremont St",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920545309",
            "country_code": "US",
            "telephone_number": "619-820-8749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLNIAK",
        "first_name": "DAVID",
        "middle_name": "VICTOR",
        "credential": "LMFT 99185",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-29",
        "last_updated": "2019-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF81146",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "99185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chachadaporn Platek
• Michael Platte
• Pmtsd1
• Katherine Polanco
• Nick Polis, DPT
• David Frederick Polster, M.D.
• Dina Polus
• Adriana Setareh Pombo
• Michal Miriam Pomeranetz, LMFT
• Kiley Pope, PTA

• Marriage & Family Therapist in El Cajon, CA
• Providers in El Cajon, 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 Nov 9, 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.