Active NPI
David Stuart Pollack, PH. D.
- Psychologist
- Pleasant Hill, CA
National Provider Identifier
1730256827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 9185
- Practice address
- 391 Taylor Blvd
Suite 250
Pleasant Hill, CA 94523-2294 - Phone
- (925) 688-8910
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 | PSY 9185 | CA | Primary |
Addresses
Primary practice location
391 Taylor Blvd
Suite 250
Pleasant Hill, CA 94523-2294
Mailing address
391 Taylor Blvd
Suite 250
Pleasant Hill, CA 94523-2294
Phone (925) 688-8910
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 9185 | CA | MD | Psychologist |
| 9185 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730256827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "391 TAYLOR BLVD",
"address_2": "SUITE 250",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945232294",
"telephone_number": "925-688-8910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 TAYLOR BLVD",
"address_2": "SUITE 250",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945232294",
"telephone_number": "925-688-8910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLACK",
"first_name": "DAVID",
"middle_name": "STUART",
"name_prefix": "Dr.",
"credential": "PH. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 9185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Hill, CA
- Pleasant Hill Prosthodontics
- Pleasant Hill Villa Home Care
- Pleasant Hill Villa Home Care 3
- Pleasant Hill Wellness Center, a Medical Corporation
- Pleasant Hillidence Opco, LLC (Pleasant Hill Post Acute)
- Cassidie Pollard
- Portia Polner, PH D LIC PSYCHOLOGIS
- Michelle Pongol
- Andres Armando Portillo, DC
- Posy Inc.
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.