Individual provider Active NPI

Abbe Polsyn, PSY.D.

  • Psychologist
  • Boca Raton, FL
National Provider Identifier
1861662694
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY5744 Issued in FL
Practice address
123 NW 13TH St Ste 304-07
Boca Raton, FL 33432-1641
Phone
(561) 421-6182
Fax
(561) 421-6183
NPI assigned
Mar 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY5744 FL Primary

Addresses

Primary practice location

123 NW 13TH St Ste 304-07
Boca Raton, FL 33432-1641

Mailing address

123 NW 13TH St Ste 304-07
Boca Raton, FL 33432-1641
Phone (561) 421-6183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050415000329 FL Practitioner - Clinical Psychologist 8325085921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

123 NW 13TH St
Suite 304 07
Boca Raton, FL 33432-1641
Phone (561) 421-6182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY5744FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Abbe Polsyn PSYD PA CurrentSince Jun 17, 2004 Accepting new patients

Locations

7301 W Palmetto Park Rd
Ste 201A
Boca Raton, FL 33433
Phone (561) 620-9494

123 NW 13th St
Ste 30407
Boca Raton, FL 33432
Phone (561) 421-6182

950 Peninsula Corporate Cir
Ste 3000
Boca Raton, FL 33487
Phone (561) 999-8881

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1861662694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 NW 13TH ST STE 304-07",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321641",
            "telephone_number": "561-421-6183",
            "fax_number": "561-421-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 NW 13TH ST STE 304-07",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321641",
            "telephone_number": "561-421-6182",
            "fax_number": "561-421-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLSYN",
        "first_name": "ABBE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-07",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.