Active NPI
Polly Clayton Meyers, M.S., LADAC
- Counselor
- Tarzana, CA
National Provider Identifier
1881894319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0092761
- Practice address
- 18646 Oxnard St
Tarzana, CA 91356-1411 - Phone
- (818) 996-1051
- NPI assigned
- Jul 23, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0092761 | NM | Primary |
Addresses
Primary practice location
18646 Oxnard St
Tarzana, CA 91356-1411
Mailing address
855 S Serrano Ave
Apt 33
Los Angeles, CA 90005-2781
Phone (505) 795-6883
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0092761 | NM | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185148800000",
"number": "1881894319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 S SERRANO AVE",
"address_2": "APT 33",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900052781",
"telephone_number": "505-795-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18646 OXNARD ST",
"city": "TARZANA",
"state": "CA",
"postal_code": "913561411",
"telephone_number": "818-996-1051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERS",
"first_name": "POLLY",
"middle_name": "CLAYTON",
"credential": "M.S., LADAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-23",
"last_updated": "2007-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NM",
"license": "0092761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.