James P Polk, PSYD LCP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810001848 Issued in VA

Practice address

1100 N Glebe Rd
Ste 1010
Arlington, VA 22201-5786

Phone

(757) 714-1838

Fax

(757) 966-2389

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Paladin Behavioral and Forensic Services

  • Clinical Psychologist
  • Virginia Beach, VA
  • NPI 1376699249
  NPD (past) Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1831117837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65053",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234675053",
            "telephone_number": "757-714-1838",
            "fax_number": "757-966-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N GLEBE RD",
            "address_2": "STE 1010",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015786",
            "telephone_number": "757-714-1838",
            "fax_number": "757-966-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLK",
        "first_name": "JAMES",
        "middle_name": "P",
        "credential": "PSYD LCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "292740",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7713894",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlotte Burch Platner, MD
• Playworks Speech and Language Therapy
• Playworks Speech Therapy, PLLC
• Archana Pokharel Parajuli, RPH
• Melanie Polin, MD
• Ann L Poloncak, OD
• Kelly Pontera
• Josefina A Pope, MSW
• Cary O Poropatich, MD
• Stuart Marlon Portnoy, MD

• Clinical Psychologist in Arlington, VA
• Providers in Arlington, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.