1. Home
  2. Directory
  3. Florida
  4. Fort Lauderdale
  5. Psychologist
  6. NPI Profile

DR. JACLYN HOLLY POLSKY PSY.D.
NPI 1043552045
Psychologist - Clinical in Fort Lauderdale, FL

Active since March 18, 2013
514 SE 11TH CT, SUITE A, FORT LAUDERDALE, FL 33316(954) 764-7155 Get Directions Write a Review

NPPES record last updated: March 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jaclyn Holly Polsky Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACLYN HOLLY POLSKY PSY.D. (NPI 1043552045) is an individual clinical provider in Fort Lauderdale, Florida, licensed in Florida (PY8678) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1043552045
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JACLYN HOLLY POLSKYCredential: PSY.D.
Location Address514 SE 11TH CT, SUITE AFort Lauderdale, FL 33316-1111
Mailing Address13000 Nw 5th StPlantation, FL 33325-2221 · (954) 303-0868
Phone(954) 764-7155
Sole ProprietorNo
Enumeration DateMarch 18, 2013
✔ NPI 1043552045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in FL · PY8678
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
514 SE 11TH CT, Fort Lauderdale, FL 33316
Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BINDU BROS, INC.
Mechanotherapist
514 SE 11TH CT
FORT LAUDERDALE, FL 33316
Broward County (954) 665-7806
JESSICA M GURVIT PSYD PA
Psychologist (Clinical)
514 SE 11TH CT, SUITE A
FT LAUDERDALE, FL 33316
Broward County (954) 764-7155
RUSSELL MAMORSKY
Mechanotherapist
514 SE 11TH CT
FORT LAUDERDALE, FL 33316
Broward County (954) 665-7806
MS. DIANA YVONNE GINTNER FL: LCSW & SC PSYCH
Social Worker
514 SE 11TH CT, SUITE A
FT LAUDERDALE, FL 33316
Broward County (954) 732-8050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Polsky's NPI number?

The NPI number for Jaclyn Polsky is 1043552045. It was assigned to this individual provider in the NPPES registry on March 18, 2013.

Where is Jaclyn Polsky located?

Jaclyn Polsky practices at 514 SE 11th Ct Suite A, Fort Lauderdale, FL 33316. The listed phone number is (954) 764-7155.

What is Jaclyn Polsky's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jaclyn Polsky was last updated on March 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.