Michelle Ann Jagodzinski Poock

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810003997 Issued in VA

Practice address

327 W 21St St Ste 205
Norfolk, VA 23517-2130

Phone

(757) 622-9852

Fax

(757) 622-4033

NPI assigned

Dec 13, 2008

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

State licenses

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

{
    "created_epoch": "1229126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229126400000",
    "number": "1386889772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 W 21ST ST STE 205",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172130",
            "telephone_number": "757-622-9852",
            "fax_number": "757-622-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 W 21ST ST STE 205",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172130",
            "telephone_number": "757-622-9852",
            "fax_number": "757-622-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOCK",
        "first_name": "MICHELLE",
        "middle_name": "ANN JAGODZINSKI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-13",
        "last_updated": "2008-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen E Pollock, RDH
• Laura Blandina Pollock, RBT
• Laura A. Ponds, LPC
• Ranjani Ponnazhagan, MD
• Sean Padraig Ponzo, MD
• Lameisha Renae' Poole
• Merideth Beck Pope, FNP-BC
• Lenecia Porro, CD
• Portal Physical Therapy
• Brianna Alexus Chantea' Porter

• Clinical Psychologist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2008; 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.