Robert D Polishook, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD-010201-E Issued in PA

Practice address

563 Heath Rd
Merion Station, PA 19066-1422

Phone

(610) 667-5435

Fax

(610) 667-1177

NPI assigned

Dec 13, 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 2

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Harmony Wellness Group IncGroup PAC ID 6800159286, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Harmony Wellness Group Inc

  • Group Psychotherapy Psychologist
  • Philadelphia, PA
  • NPI 1760902753
  Medicare reassignment Care Compare group
• Northeast Community Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
  • NPI 1841331246
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1609937606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 HEATH RD",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661422",
            "telephone_number": "610-667-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 HEATH RD",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661422",
            "telephone_number": "610-667-5435",
            "fax_number": "610-667-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLISHOOK",
        "first_name": "ROBERT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD-010201-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "114502KKB",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO.",
            "identifier": "MD010201-E",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cecilia Olugbade-Oseyemi, M.D.
• Zahra Ortiz
• Oxygenworks Inc
• William Dewitt Parry, CCC-SLP
• Sarah Pendergast
• Joan F Pollak, LCSW
• Paul J. Potesta, PH.D.
• Julianne Norah Powis, CNM
• Catalino Gomez Punzalan Jr., M.D.
• Tehilla Rabinowich

• Psychiatry Physician in Merion Station, PA
• Providers in Merion Station, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.