Kendra Mieko Pollock

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

4063 Issued in CA

Practice address

2501 Chestnut St
Oakland, CA 94607-2477

Phone

(510) 452-2063

NPI assigned

Apr 14, 2025

Sex

Female

Sole proprietor

Yes

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": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1457146979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369B 3RD ST # 549",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013581",
            "telephone_number": "415-870-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 CHESTNUT ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072477",
            "telephone_number": "510-452-2063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "369B 3rd St # 549",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949013581",
            "country_code": "US",
            "telephone_number": "415-870-3922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "KENDRA",
        "middle_name": "MIEKO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "4063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Pollard, DPT
• Jason D. Pollard, DPM
• Michelle Pollastrini
• Allison Gannon Pollock, M.D.
• Hannah Pollock
• Sara M Pollock, PSY.D.
• Veronica Pollutro, AMFT
• Lynn Polon
• Araxi Polony
• Linda Polovetsky, MS, LMFT

• School Psychologist in Oakland, CA
• Providers in Oakland, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.