Active NPI
Alicia Leigh Poleshuk, PH.D.
- Psychologist
- Teaneck, NJ
National Provider Identifier
1720208440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 44SC05237800
- Practice address
- 101 Cedar LN Ste 304
Teaneck, NJ 07666-4417 - Phone
- (201) 663-1257
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 44SC05237800 | NJ | Primary |
Addresses
Primary practice location
101 Cedar LN Ste 304
Teaneck, NJ 07666-4417
Mailing address
6 Springfield Ave
Hasbrouck Heights, NJ 07604-1052
Phone (201) 663-1257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05237800 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195516800000",
"number": "1720208440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 SPRINGFIELD AVE",
"city": "HASBROUCK HEIGHTS",
"state": "NJ",
"postal_code": "076041052",
"telephone_number": "201-663-1257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CEDAR LN STE 304",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664417",
"telephone_number": "201-663-1257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLESHUK",
"first_name": "ALICIA",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "44SC05237800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.