Tani Theodore Polansky

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4272 Issued in TN

Practice address

214 Overlook Cir Ste 200
Brentwood, TN 37027-8508

Phone

(629) 310-1310

NPI assigned

Sep 4, 2023

Sex

Male

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

Practice roles

Locations

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.

• Momentum for Health

  • Community/Behavioral Health Agency
  • Palo Alto, CA
  • NPI 1346994258
  NPD

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1487430617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 OVERLOOK CIR STE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278508",
            "telephone_number": "629-310-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 OVERLOOK CIR STE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278508",
            "telephone_number": "629-310-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLANSKY",
        "first_name": "TANI",
        "middle_name": "THEODORE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-04",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "4272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Leigh Pittman, M.ED, BCBA
• Sara Pitts, LCSW
• Jordan Plaxico, RN, MSN, APRN, PMHNP
• Virginia Poag, MSW,LCSW
• Larry Poe, MD
• Jeremiah Polk, DC
• Michael Pollard
• Abby Pollock, LPC-MHSP
• Morgan Leigh Polston, M.S., CF-SLP
• Terry Brent Ponder, M.D.

• Clinical Psychologist in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.