DR. ETHAN POLLACK PH D
NPI 1255427761
Psychologist - Clinical in Needham, MA

Q: What is Ethan Pollack's NPI number?

The NPI number for Ethan Pollack is 1255427761. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Ethan Pollack'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 Ethan Pollack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 04, 2006

992 GREAT PLAIN AV, NEEDHAM, MA 02492(781) 449-4280(781) 449-3134 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Ethan Pollack Ph D NPPES

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

DR. ETHAN POLLACK PH D (NPI 1255427761) is an individual clinical provider in Needham, Massachusetts, licensed in Massachusetts (837) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1255427761

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ETHAN POLLACKCredential: PH D

Location Address992 GREAT PLAIN AVNeedham, MA 02492

Mailing Address992 Great Plain AvNeedham, MA 02492 · (781) 449-4280 · Fax (781) 449-3134

Phone(781) 449-4280

Fax(781) 449-3134

Sole ProprietorNo

Enumeration DateOctober 4, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1255427761 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 MA · 837

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.

992 GREAT PLAIN AV, Needham, MA 02492

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Other Identifiers 2

Medicare ID-Type UnspecifiedW01268MA

Other668081MA · Tufts

Other Providers at the Same Location NPPES

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

DEVORAH MESHOULAM LICSW

Social Worker (Clinical)

992 GREAT PLAIN AV
NEEDHAM, MA 02492

Norfolk County (781) 449-8161

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 Ethan Pollack's NPI number?

The NPI number for Ethan Pollack is 1255427761. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Ethan Pollack located?

Ethan Pollack practices at 992 Great Plain Av, Needham, MA 02492. The listed phone number is (781) 449-4280.

What is Ethan Pollack'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 Ethan Pollack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.