DR. BRENDA IRA POLL PH.D., PSY.D.
NPI 1609088012
Psychologist - Clinical in Irvine, CA

Q: What is Brenda Poll's NPI number?

The NPI number for Brenda Poll is 1609088012. It was assigned to this individual provider in the NPPES registry on May 6, 2007.

Q: What is Brenda Poll's specialty?

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

Q: Is Brenda Poll enrolled in Medicare?

No. Brenda Poll has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Brenda Poll 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 May 06, 2007Opted out of Medicare · through Oct 1, 2026

111 PACIFICA, SUITE 270, IRVINE, CA 92618(949) 341-0393(949) 715-9029 Get Directions Write a Review

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

On this page

About Dr. Brenda Ira Poll Ph.d., Psy.d. NPPES

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

DR. BRENDA IRA POLL PH.D., PSY.D. (NPI 1609088012) is an individual clinical provider in Irvine, California, licensed in California (PSY10179) and active in the NPI registry since May 2007. She has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1609088012

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. BRENDA IRA POLLCredential: PH.D., PSY.D.

Location Address111 PACIFICA, SUITE 270Irvine, CA 92618-3310

Mailing Address635 Fontana WayLaguna Beach, CA 92651-4053 · (949) 715-9019

Phone(949) 341-0393

Fax(949) 715-9029

Sole ProprietorYes

Enumeration DateMay 6, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1609088012 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 CA · PSY10179

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.

111 PACIFICA, Irvine, CA 92618

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Brenda Ira Poll Ph.d., Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2016 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2016

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

SARI ROSE BARRON M.S., LMFT

Marriage & Family Therapist

111 PACIFICA, SUITE 270
IRVINE, CA 92618

Orange County (310) 994-5757

DR. ZENA DENISE POLLY PH.D.

Psychologist (Clinical Child & Adolescent)

111 PACIFICA, SUITE 125
IRVINE, CA 92618

Orange County (949) 450-8270

DR. LUCYANN CARLTON M.S., PSY.D.

Marriage & Family Therapist

111 PACIFICA, SUITE 270
IRVINE, CA 92618

Orange County (949) 341-0382

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 Brenda Poll's NPI number?

The NPI number for Brenda Poll is 1609088012. It was assigned to this individual provider in the NPPES registry on May 6, 2007.

Where is Brenda Poll located?

Brenda Poll practices at 111 Pacifica Suite 270, Irvine, CA 92618. The listed phone number is (949) 341-0393.

What is Brenda Poll's specialty?

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

Is Brenda Poll enrolled in Medicare?

No. Brenda Poll has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Brenda Poll 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.