DR. EVAN R PODOLAK PSY.D.
NPI 1831429240
Psychologist - Clinical in Mamaroneck, NY

Active since January 06, 2010Opted out of Medicare · through May 1, 2027
1600 HARRISON AVE, SUITE 307B, MAMARONECK, NY 10543(914) 835-3910 Get Directions Write a Review

NPPES record last updated: May 6, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Evan R Podolak Psy.d. NPPES

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

DR. EVAN R PODOLAK PSY.D. (NPI 1831429240) is an individual clinical provider in Mamaroneck, New York, licensed in New York (018395-1) and active in the NPI registry since January 2010. He has opted out of Medicare through May 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1831429240
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. EVAN R PODOLAKCredential: PSY.D.
Location Address1600 HARRISON AVE, SUITE 307BMamaroneck, NY 10543-3145
Mailing Address75 Fenimore DrHarrison, NY 10528-1413 · (914) 714-3108
Sole ProprietorYes
Enumeration DateJanuary 6, 2010
Last NPPES UpdateMay 6, 2010
NPI 1831429240 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 · 018395-1
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.

1600 HARRISON AVE, Mamaroneck, NY 10543

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. Evan R Podolak 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 May 1, 2019 through May 1, 2027.

Opt-Out Effective DateMay 1, 2019
Opt-Out In Effect ThroughMay 1, 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 10543 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Otolaryngology
1600 HARRISON AVE, SUITE G104
MAMARONECK, NY 10543
Pediatrics
1600 HARRISON AVE, SUITE #205
MAMARONECK, NY 10543
Psychiatry & Neurology (Psychiatry)
1600 HARRISON AVE, SUITE 105A
MAMARONECK, NY 10543
Chiropractor
1600 HARRISON AVE, SUITE 104
MAMARONECK, NY 10543
Psychologist
1600 HARRISON AVE, STE G105A-2
MAMARONECK, NY 10543
Allergy & Immunology (Allergy)
1600 HARRISON AVE, STE 304
MAMARONECK, NY 10543
Nurse Practitioner (Psychiatric/Mental Health)
1600 HARRISON AVE, SUITE 302
MAMARONECK, NY 10543
Psychiatry & Neurology (Psychiatry)
1600 HARRISON AVE, SUITE 105A
MAMARONECK, NY 10543

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 Evan Podolak's NPI number?

The NPI number for Evan Podolak is 1831429240. It was assigned to this individual provider in the NPPES registry on January 6, 2010.

Where is Evan Podolak located?

Evan Podolak practices at 1600 Harrison Ave Suite 307B, Mamaroneck, NY 10543. The listed phone number is (914) 835-3910.

What is Evan Podolak's specialty?

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

Is Evan Podolak enrolled in Medicare?

No. Evan Podolak has opted out of Medicare through May 1, 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 Evan Podolak was last updated on May 6, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.