JEFFREY LEWIS POLCZINSKI PSYD
NPI 1306878368
Psychologist - Clinical in Glendale, WI

Active since July 07, 2006
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: March 14, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeffrey Lewis Polczinski Psyd NPPES

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

JEFFREY LEWIS POLCZINSKI PSYD (NPI 1306878368) is an individual clinical provider in Glendale, Wisconsin, licensed in Wisconsin (1641057) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1306878368
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJEFFREY LEWIS POLCZINSKICredential: PSYD
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
Sole ProprietorYes
Enumeration DateJuly 7, 2006
Last NPPES UpdateMarch 14, 2008
NPI 1306878368 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 WI · 1641057
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.

5555 N PORT WASHINGTON RD, Glendale, WI 53217

Other Identifiers 4

Medicare ID-Type Unspecified88274
Medicare PIN88274
Medicaid39131300WI
Other1641057WI · Pscyhologist License

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
Psychologist
5555 N PORT WASHINGTON RD, SUITE 304
GLENDALE, WI 53217
Counselor (Professional)
5555 N PORT WASHINGTON RD, 200
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 Polczinski's NPI number?

The NPI number for Jeffrey Polczinski is 1306878368. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Jeffrey Polczinski located?

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

What is Jeffrey Polczinski'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 Jeffrey Polczinski was last updated on March 14, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.