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

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: July 19, 2026.

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
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

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.

Psychologist (Clinical)
1916 DEERCREST LN
NORTHBROOK, IL 60062

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174335111, enumerated as an "individual" on January 27, 2025.

The provider is located at 1916 DEERCREST LN NORTHBROOK, IL 60062 and the phone number is (847) 449-6084.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.