JEFFREY L POLCZINSKI PSYD LLC
NPI 1124291976
Psychologist in Glendale, WI

Active since April 11, 2008
5555 N PORT WASHINGTON RD, SUITE 304, GLENDALE, WI 53217(414) 967-9550(414) 967-9550 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey L Polczinski Psyd Llc NPPES

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

JEFFREY L POLCZINSKI PSYD LLC (NPI 1124291976) is a healthcare organization registered as a psychologist in Glendale, Wisconsin and active in the NPI registry since April 2008. The organization lists Jeffrey L Polczinski, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1124291976
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameJEFFREY L POLCZINSKI PSYD LLC
Location Address5555 N PORT WASHINGTON RD, SUITE 304Glendale, WI 53217
Mailing Address5555 N Port Washington Rd, Suite 304Glendale, WI 53217 · (414) 967-9550 · Fax (414) 967-9550
Fax(414) 967-9550
Organization SubpartNo
Authorized OfficialJeffrey L PolczinskiPsychologist · (414) 967-9550
Enumeration DateApril 11, 2008
Last NPPES UpdateOctober 19, 2011
NPI 1124291976 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 WI · 1641057
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.
5555 N PORT WASHINGTON RD, Glendale, WI 53217

Other Identifiers 2

Medicaid39131300WI
Medicare PIN88274WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

Psychologist (Counseling)
5555 N PORT WASHINGTON RD, SUITE 200
GLENDALE, WI 53217
Counselor (Professional)
5555 N PORT WASHINGTON RD, 200
GLENDALE, WI 53217
Psychologist (Clinical)
5555 N PORT WASHINGTON RD, SUITE 304
GLENDALE, WI 53217
Clinic/Center (Mental Health (Including Community Mental Health Center))
5555 N PORT WASHINGTON RD, STE 200
MILWAUKEE, WI 53217
Counselor (Mental Health)
5555 N PORT WASHINGTON RD, STE 300
MILWAUKEE, WI 53217
Counselor (Mental Health)
5555 N PORT WASHINGTON RD, SUITE 200
GLENDALE, WI 53217
Psychologist
5555 N PORT WASHINGTON RD, SUITE 200
MILWAUKEE, WI 53217

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 Jeffrey L Polczinski Psyd LLC's NPI number?

The NPI number for Jeffrey L Polczinski Psyd LLC is 1124291976. It was assigned to this organization in the NPPES registry on April 11, 2008.

Where is Jeffrey L Polczinski Psyd LLC located?

Jeffrey L Polczinski Psyd LLC is located at 5555 N Port Washington Rd Suite 304, Glendale, WI 53217. The listed phone number is (414) 967-9550.

What is Jeffrey L Polczinski Psyd LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Jeffrey L Polczinski Psyd LLC was last updated on October 19, 2011. 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.