Pollack Psychotherapy Group, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

POLLACK PSYCHOTHERAPY GROUP, INC.

Practice address

617 Victoria Ave
Venice, CA 90291-4834

Phone

(310) 845-6847

NPI assigned

Nov 2, 2022

Organization subpart

No

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

Authorized official

Name

Tracy Pollack, PSYDNPI 1528307725

Title

President

Phone

(310) 845-6847

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy Alexandra Pollack, PSYD

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1528307725
  NPD Authorized official

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1982311643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 VICTORIA AVE",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902914834",
            "telephone_number": "310-845-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 VICTORIA AVE",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902914834",
            "telephone_number": "310-845-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLLACK PSYCHOTHERAPY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "POLLACK",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-845-6847",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Marie Pierre-Paul, FNP-C
• Sandra Janet Pineda, PHARM.D.
• Allen Pitts
• Anthea Pitysingh
• Tamala Jo Poljak, MA, LMFT
• Vanessa Ponce
• Mitesh G Popat, MD
• Caron Sue Post, PHD
• Heidi Potter, SUDRC
• Praesidium Diagnostic LLC

• All providers in Venice, CA
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.