Polina Bryson, PH D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 20477 Issued in CA

Practice address

221 W Crest St
Suite 102
Escondido, CA 92025-1739

Phone

(760) 489-4930

Fax

(760) 489-4933

NPI assigned

Jun 7, 2006

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

Other names 1

• Polina Ryzhik Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North City Psychological Group

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1649387259
  NPD (past)
• Psychiatric Centers at San Diego, Inc. Med GRP

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1841241585
  NPD (past)
• Tory D. Pepper, PH.D., a Professional Psychology Corporation

  • Psychologist
  • San Diego, CA
  • NPI 1528505237
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1477593416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609001",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921609001",
            "telephone_number": "619-528-4600",
            "fax_number": "619-528-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W CREST ST",
            "address_2": "SUITE 102",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251739",
            "telephone_number": "760-489-4930",
            "fax_number": "760-489-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYSON",
        "first_name": "POLINA",
        "name_prefix": "Mrs.",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 20477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "POLINA",
            "last_name": "RYZHIK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Derek S Brunton, D.C.
• Gabrielle Renee Mungaven Bry
• Shaun D Bry, DPT
• Robyn Bryan-Horrigan, MFT
• Silvia Verenice Bryant, ASW
• Zachary Porter Buchanan, PT, DPT
• Kathryn Buchwald
• Danalynn Anne Buckley, OT
• Lewis Budiman
• Michelle Budman

• Clinical Psychologist in Escondido, CA
• Providers in Escondido, CA by specialty
• Clinical Psychologist in California

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