Joan Marie Polansky, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

3399 Issued in AZ

Practice address

11110 N Tatum Blvd
Suite 103
Phoenix, AZ 85028-1607

Phone

(602) 621-0468

NPI assigned

Jul 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in AZ

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arcadia Psychology

  dba Joan Polansky

  • Clinical Psychologist
  • Phoenix, AZ
  • NPI 1225411432
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699790030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 E MOUNTAIN VIEW RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850285211",
            "telephone_number": "602-621-0468",
            "fax_number": "602-443-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 N TATUM BLVD",
            "address_2": "SUITE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281607",
            "telephone_number": "602-621-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLANSKY",
        "first_name": "JOAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AZ",
            "license": "3399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Gerard Poirier, M.D.
• Cheryl Lynn Poisson, MN,FNP-C
• Carolyn R Pokorney, RN
• Arlene Polakof, DPM
• Michael Ervin Polakowski
• Polaris Medical Group LLC
• Delia Mae Poleahla, RN.
• Elizabeth Polen, LPC
• Jack Nathan Poles, M.D.
• Sharon L Polintan, P.T.

• Counseling Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Counseling Psychologist in Arizona

• 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.