Rosemarie Polera, MA, CAS

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

0813000180 Issued in VA

Practice address

11600 Holman Ridge Rd
Glen Allen, VA 23059-5661

Phone

(804) 935-6760

NPI assigned

May 5, 2018

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1525478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525478400000",
    "number": "1659860609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23120",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232230420",
            "telephone_number": "804-343-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 HOLMAN RIDGE RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595661",
            "telephone_number": "804-935-6760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3840 Philip Ludwell",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231881329",
            "country_code": "US",
            "telephone_number": "630-776-4194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLERA",
        "first_name": "ROSEMARIE",
        "credential": "MA, CAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-05",
        "last_updated": "2018-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": "VA",
            "license": "0813000180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tami S Pohnert, PT
• Tracy Freeman Poling, OD
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• Angela Williamson Poole, NURSE PRACTITIONER
• Stephanie Ann Poole, LCSW
• Carolyn Port, MD

• School Psychologist in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• School Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2018; 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.