Vicki Eileen Pollock, VICKI POLLOCK, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY9889 Issued in CA

Practice address

17031 Bollinger Dr
Pacific Palisades, CA 90272-3224

Phone

(310) 383-2019

Fax

(310) 459-0917

NPI assigned

Sep 8, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1508199696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17031 BOLLINGER DR",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723224",
            "telephone_number": "310-383-2019",
            "fax_number": "310-459-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17031 BOLLINGER DR",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723224",
            "telephone_number": "310-383-2019",
            "fax_number": "310-459-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "VICKI",
        "middle_name": "EILEEN",
        "credential": "VICKI POLLOCK, PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY9889",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY9889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• W. Kane Phelps
• Amanda Plath, MSW, LCSW, PMH-C
• Clarice Poirier
• Randall Pokomo, M.D.
• Gary David Polan, O.D.
• Renee S. Portenier, OTR
• David Vincent Powers, P.T.
• Thomas Harrison Price, RPH
• Gena Sloane Pruetz, P.T.
• Nathan Pruitt, RPH

• Clinical Psychologist in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.