Organization Active NPI

Polly Corman Inc

  • Clinical Social Worker
  • Nyack, NY
National Provider Identifier
1407192032
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
051386-1 Issued in NY
Legal business name
POLLY CORMAN INC
Practice address
218 Birchwood Ave
Nyack, NY 10960-1428
Phone
(845) 348-0721
NPI assigned
Dec 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Authorized official

Name
Polly Jo Corman, LCSW-R
Title
Psychotherapist
Phone
(845) 348-0721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 051386-1 NY Primary

Addresses

Primary practice location

218 Birchwood Ave
Nyack, NY 10960-1428

Mailing address

218 Birchwood Ave
Nyack, NY 10960-1428

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1407192032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 BIRCHWOOD AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 BIRCHWOOD AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601428",
            "telephone_number": "845-348-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLLY CORMAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-31",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "CORMAN",
        "authorized_official_first_name": "POLLY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "845-348-0721",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "051386-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.