LAURA CHRISTINE POLACEK PHD
NPI 1457197774
Psychologist - Clinical in New York, NY

Active since July 05, 2024PECOS EnrolledAccepts Medicare Assignment
17 E 102ND ST, NEW YORK, NY 10029(212) 659-8552 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 14, 2026, Mar 11, 2026, Jul 5, 2024 (3 updates tracked since 2024).

About Laura Christine Polacek Phd NPPES

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

LAURA CHRISTINE POLACEK PHD (NPI 1457197774) is an individual clinical provider in New York, New York, licensed in New York (P129387) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457197774
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameLAURA CHRISTINE POLACEKCredential: PHD
Location Address17 E 102ND STNew York, NY 10029-5204
Mailing Address1 Gustave L Levy Pl # 1070New York, NY 10029-6504 · (212) 241-3160
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 5, 2024
Last NPPES UpdateMay 14, 20263 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
NPI 1457197774 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 NY · P129387
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.

17 E 102ND ST, New York, NY 10029

Secondary Practice Locations 2

Location 11111 Amsterdam Ave Fl 10New York, NY 10025-1716 · Phone (212) 659-8552
Location 210 Union Sq E Ste 3GNew York, NY 10003-3314 · Phone (212) 463-0101

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

Laura Christine Polacek Phd 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 ID7416482625
PECOS Enrollment IDI20241125003598
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 20

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

Internal Medicine
17 E 102ND ST
NEW YORK, NY 10029
Internal Medicine
17 E 102ND ST
NEW YORK, NY 10029
Preventive Medicine (Public Health & General Preventive Medicine)
17 E 102ND ST, DEPT OF COMMUNITY AND PREVENTIVE MEDICINE
NEW YORK, NY 10029
Internal Medicine
17 E 102ND ST, 5TH FLOOR
NEW YORK, NY 10029
General Acute Care Hospital
17 E 102ND ST, 8TH FLOOR
NEW YORK, NY 10029
Specialist
17 E 102ND ST
NEW YORK, NY 10029
Eyewear Supplier
17 E 102ND ST, 8TH FLOOR #1183
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
17 E 102ND ST, # 1087
NEW YORK, NY 10029

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 Laura Polacek's NPI number?

The NPI number for Laura Polacek is 1457197774. It was assigned to this individual provider in the NPPES registry on July 5, 2024.

Where is Laura Polacek located?

Laura Polacek practices at 17 E 102nd St, New York, NY 10029. The listed phone number is (212) 659-8552.

What is Laura Polacek's specialty?

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

Is Laura Polacek enrolled in Medicare?

Yes. Laura Polacek 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.

Is Laura Polacek affiliated with any hospitals?

According to CMS data, Laura Polacek is affiliated with Mount Sinai Hospital.

When was this NPI record last updated?

The NPPES record for Laura Polacek was last updated on May 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.