Active NPI
Scott Robert Polick, D.O.
- Psychiatry Physician
- Livonia, MI
National Provider Identifier
1811263700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 1811263700
- Practice address
- 36475 Five Mile Rd
Livonia, MI 48154-1971 - Phone
- (734) 655-2727
- Fax
- (734) 655-8430
- NPI assigned
- Mar 26, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 1811263700 | MI | Primary |
Addresses
Primary practice location
36475 Five Mile Rd
Livonia, MI 48154-1971
Mailing address
36475 Five Mile Rd
Livonia, MI 48154-1971
Phone (734) 655-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1811263700 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph Mercy Hospital | Current | Accepting new patients | |
| St Joseph Mercy Hospital | Current | Accepting new patients | |
| St Joseph Mercy Hospital | Psychiatry | Current | Accepting new patients |
Locations
20555 Victor Pkwy
Livonia, MI 48152
Phone (734) 343-3925
5361 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-1300
5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246
Organizations & group practices 3
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.
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- Ypsilanti, MI
- NPI 1659499705
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- Cardiac Rehabilitation Clinic/Center
- Ypsilanti, MI
- NPI 1902359094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574380800000",
"number": "1811263700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36475 FIVE MILE RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481541971",
"telephone_number": "734-655-2727",
"fax_number": "734-655-8430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36475 FIVE MILE RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481541971",
"telephone_number": "734-655-2727",
"fax_number": "734-655-8430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLICK",
"first_name": "SCOTT",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-26",
"last_updated": "2019-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "1811263700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.