Monica Sue Polk, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

7741811-1204 Issued in UT

Practice address

1481 E Pioneer Rd
Draper, UT 84020-9623

Phone

(801) 679-6669

NPI assigned

Jun 12, 2008

Last updated

Jul 20, 2023By the provider in NPPES

Sex

Female

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

Enrolled in UT, MT, IA3 enrollments

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.

Enrollment records 3

Specialty

Psychiatry

Education

University of New England, College of Osteo Medicine, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Billings Clinic

  • Emergency Care Clinic/Center
  • Billings, MT
  • NPI 1326104845
  Medicare reassignment NPD
• Central Iowa Hospital Corporation

  dba East Des Moines Family Care Center

  • Family Medicine Physician
  • Des Moines, IA
  • NPI 1104879576
  Medicare reassignment
• Whole Mind LLC

  • Psychiatry Physician
  • Pleasant Grove, UT
  • NPI 1659084879
  NPD
• Billings Clinic

  • General Practice Physician
  • Billings, MT
  • NPI 1376598714
  NPD
• Care One Partners LLC

  • Multi-Specialty Clinic/Center
  • Draper, UT
  • NPI 1932618873
  NPD (past)
• Deer Hollow Recovery LLC

  • Psychiatric Residential Treatment Facility
  • Draper, UT
  • NPI 1821473224
  NPD (past)
• The Phoenix Recovery Center LLC

  • Substance Abuse Rehabilitation Facility
  • Ste 500, UT
  • NPI 1770828873
  NPD (past)

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1891955910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 E DRAPER PKWY # 675",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 E PIONEER RD",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209623",
            "telephone_number": "801-679-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLK",
        "first_name": "MONICA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "7741811-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tieler Pitts
• Sawyer Platt
• Alilia Plazas
• McKinsey Plumb
• Elizabeth Poch
• Pony Express Dental of Draper, LLC
• Anna-Lynn Porter
• Halee Porter
• Vianey Alexjandra Porter
• Amelia Posselli

• Psychiatry Physician in Draper, UT
• Providers in Draper, UT by specialty
• Psychiatry Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.