Robert I Polakoff, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD00034051 Issued in WA

Practice address

1932 1St Ave
Suite 604
Seattle, WA 98101-2498

Phone

(206) 443-9379

NPI assigned

Apr 26, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 5, 2026 through Jan 5, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Community Psychiatric Clinic Inc

  • Community/Behavioral Health Agency
  • Seattle, WA
  • NPI 1629120159
  NPD (past)
• Community Psychiatric Clinic Inc

  • Adult Mental Health Clinic/Center
  • Seattle, WA
  • NPI 1679860860
  NPD (past)
• Overlake Medical Center & Clinics

  • Psychiatric Hospital Unit
  • Bellevue, WA
  • NPI 1811904063
  NPD (past)
• Sound

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tukwila, WA
  • NPI 1780774950
  NPD (past)
• Sound

  • Mental Illness Community Based Residential Treatment Facility
  • Seattle, WA
  • NPI 1922640457
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1821218256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 1ST AVE",
            "address_2": "SUITE 604",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012498",
            "telephone_number": "206-443-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 1ST AVE",
            "address_2": "SUITE 604",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012498",
            "telephone_number": "206-443-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLAKOFF",
        "first_name": "ROBERT",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00034051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lanaiya Poirier, RRT
• Rozanne Marie Poirier, PHARMACIST
• Jane Poisson, LICSW
• Lowell Poisson
• Polack Adult Day Center
• Alason Polanco, LHMC
• Chris Poland, RPH
• Polaris Eyecare Inc (Capitol Hill Vision)
• Lisa Anne Polec, D.C.
• Steven R Polenz, D.C.

• Psychiatry Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.