DR. DANIEL POLONSKY PSY.D.
NPI 1174335111
Psychologist - Clinical in Northbrook, IL

Q: What is Daniel Polonsky's NPI number?

The NPI number for Daniel Polonsky is 1174335111. It was assigned to this individual provider in the NPPES registry on January 27, 2025.

Q: What is Daniel Polonsky's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Daniel Polonsky was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since January 27, 2025PECOS EnrolledAccepts Medicare Assignment

1916 DEERCREST LN, NORTHBROOK, IL 60062(847) 449-6084 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Daniel Polonsky Psy.d. NPPES

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

DR. DANIEL POLONSKY PSY.D. (NPI 1174335111) is an individual clinical provider in Northbrook, Illinois, licensed in Illinois (071.011398) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1174335111

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DANIEL POLONSKYCredential: PSY.D.

Location Address1916 DEERCREST LNNorthbrook, IL 60062-5074

Mailing Address1916 Deercrest LnNorthbrook, IL 60062-5074 · (847) 449-6084

Phone(847) 449-6084

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 27, 2025

Last NPPES UpdateOctober 10, 2025

NPPES CertifiedOctober 10, 2025

✔ NPI 1174335111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071.011398

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.

Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 071.011398 (IL)

Also ListedPsychologistTaxonomy 103T00000X · License 03351 (KS)

1916 DEERCREST LN, Northbrook, IL 60062

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Daniel Polonsky Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638696156

PECOS Enrollment IDI20250508001017

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$183.39 typical visit price

range $60.08 – $183.39

Typical copayment $45.84 (range $15.02 – $45.84)

Most-billed visit code 99205

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

COGNIVIA ASSESSMENT AND THERAPY PLLC

Psychologist (Clinical)

1916 DEERCREST LN
NORTHBROOK, IL 60062

Cook County (847) 449-6084

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 Daniel Polonsky's NPI number?

The NPI number for Daniel Polonsky is 1174335111. It was assigned to this individual provider in the NPPES registry on January 27, 2025.

Where is Daniel Polonsky located?

Daniel Polonsky practices at 1916 Deercrest Ln, Northbrook, IL 60062. The listed phone number is (847) 449-6084.

What is Daniel Polonsky's specialty?

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

Is Daniel Polonsky enrolled in Medicare?

Yes. Daniel Polonsky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Daniel Polonsky was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.