Organization Active NPI

Podolski Psychiatry PLLC

  • Adult Mental Health Clinic/Center
  • West Hartford, CT
National Provider Identifier
1447849260
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PODOLSKI PSYCHIATRY PLLC
Practice address
433 S Main St Ste 327
West Hartford, CT 06110-2816
Phone
(860) 410-4007
Fax
(860) 955-4804
NPI assigned
Jan 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Authorized official

Name
Dr. Mariela Podolski, MDNPI 1023201589
Title
Psychiatrist
Phone
(860) 410-4007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

433 S Main St Ste 327
West Hartford, CT 06110-2816

Mailing address

44 Fieldstone Dr
South Glastonbury, CT 06073-3718
Phone (860) 707-4880

National Provider Directory

National Provider Directory

Locations

433 S Main St
Ste 327
West Hartford, CT 06110
Phone (860) 410-4007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1447849260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 FIELDSTONE DR",
            "city": "SOUTH GLASTONBURY",
            "state": "CT",
            "postal_code": "060733718",
            "telephone_number": "860-707-4880",
            "fax_number": "860-955-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 S MAIN ST STE 327",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061102816",
            "telephone_number": "860-410-4007",
            "fax_number": "860-955-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODOLSKI PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "PODOLSKI",
        "authorized_official_first_name": "MARIELA",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "860-410-4007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.