Ira M Pollak, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

009231 Issued in NY

Practice address

700 Cantiague Rock Rd
Jericho, NY 11753-1402

Phone

(516) 937-1440

Fax

(516) 937-1440

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518042902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CANTIAGUE ROCK RD",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531402",
            "telephone_number": "516-937-1440",
            "fax_number": "516-937-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CANTIAGUE ROCK RD",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531402",
            "telephone_number": "516-937-1440",
            "fax_number": "516-937-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLAK",
        "first_name": "IRA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "009231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01055334",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paris Ead Phillips, M.D.
• Physicians Care of Long Island
• Ajayan Pillai, PHD
• Dominique Catherine Plante, MA CCC SLP TSSLD
• Linda S Pochtar, MA CCC SLP
• Robin Schoen Pollak, MSSLPTSHH
• Franki Pomatico, LMSW
• Christiana Marie Ponce, RN
• Jamie Marie Postal, PHD
• Preferred Medical, P.C.

• Psychologist in Jericho, NY
• Providers in Jericho, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.