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DR. MADELINE POLONIA PSY.D.
NPI 1770629248
Psychologist - Clinical in Poway, CA

Active since January 30, 2007Opted out of Medicare · through Dec 7, 2027
15525 POMERADO RD STE B1, POWAY, CA 92064(858) 243-2684 Get Directions Write a Review

NPPES record last updated: June 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Madeline Polonia Psy.d. NPPES

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

DR. MADELINE POLONIA PSY.D. (NPI 1770629248) is an individual clinical provider in Poway, California, licensed in California (PSY17247) and active in the NPI registry since January 2007. She has opted out of Medicare through December 7, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1770629248
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MADELINE POLONIACredential: PSY.D.
Location Address15525 POMERADO RD STE B1Poway, CA 92064-2425
Mailing Address15525 Pomerado Rd Ste B1Poway, CA 92064-2425 · (858) 243-2684
Phone(858) 243-2684
Sole ProprietorYes
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJune 5, 2019
✔ NPI 1770629248 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 · PSY17247
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.
15525 POMERADO RD STE B1, Poway, CA 92064
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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. Madeline Polonia 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 December 7, 2023 through December 7, 2027.

Opt-Out Effective DateDecember 7, 2023
Opt-Out In Effect ThroughDecember 7, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92064 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
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 2

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

DR. AMY BALETE PSY.D.
Psychologist
15525 POMERADO RD STE B1
POWAY, CA 92064
San Diego County (951) 283-0315
JOEL TRAUT MD
Pediatrics
15525 POMERADO RD STE B1
POWAY, CA 92064
San Diego County (858) 487-8333

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 Madeline Polonia's NPI number?

The NPI number for Madeline Polonia is 1770629248. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Madeline Polonia located?

Madeline Polonia practices at 15525 Pomerado Rd Ste B1, Poway, CA 92064. The listed phone number is (858) 243-2684.

What is Madeline Polonia's specialty?

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

Is Madeline Polonia enrolled in Medicare?

No. Madeline Polonia has opted out of Medicare through December 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Madeline Polonia was last updated on June 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.