DR. ALEXA MARY POLVERINO PHD
NPI 1043585672
Psychologist in Brooklyn, NY

Active since March 15, 2012PECOS Enrolled
800 POLY PL, PSYCHOLOGY DEPARTMENT, 16TH FLOOR (116B), BROOKLYN, NY 11209(718) 836-6600 Get Directions Write a Review

NPPES record last updated: March 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Alexa Mary Polverino Phd NPPES

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

DR. ALEXA MARY POLVERINO PHD (NPI 1043585672) is an individual psychologist in Brooklyn, New York, licensed in New York (019528) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043585672
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ALEXA MARY POLVERINOCredential: PHD
Location Address800 POLY PL, PSYCHOLOGY DEPARTMENT, 16TH FLOOR (116B)Brooklyn, NY 11209-7104
Mailing Address9921 4th Ave, Unit 4aBrooklyn, NY 11209-8351 · (917) 613-2118
Sole ProprietorNo
Enumeration DateMarch 15, 2012
NPI 1043585672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 019528
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
800 POLY PL, Brooklyn, NY 11209

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Alexa Mary Polverino Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Social Worker
800 POLY PL
BROOKLYN, NY 11209
Social Worker (Clinical)
800 POLY PL
BROOKLYN, NY 11209
Psychologist (Clinical)
800 POLY PL
BROOKLYN, NY 11209
Physical Medicine & Rehabilitation
800 POLY PL
BROOKLYN, NY 11209
Social Worker
800 POLY PL
BROOKLYN, NY 11209
Social Worker (Clinical)
800 POLY PL
BROOKLYN, NY 11209
Social Worker (Clinical)
800 POLY PL
BROOKLYN, NY 11209
Social Worker (Clinical)
800 POLY PL
BROOKLYN, NY 11209

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 Alexa Polverino's NPI number?

The NPI number for Alexa Polverino is 1043585672. It was assigned to this individual provider in the NPPES registry on March 15, 2012.

Where is Alexa Polverino located?

Alexa Polverino practices at 800 Poly Pl Psychology Department, 16th Floor (116b), Brooklyn, NY 11209. The listed phone number is (718) 836-6600.

What is Alexa Polverino's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Alexa Polverino enrolled in Medicare?

Yes. Alexa Polverino is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexa Polverino was last updated on March 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.