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GERALD POLK CDCA
NPI 1831696970
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Shelby, OH

Active since April 06, 2018
2775 STATE ROUTE 39, SHELBY, OH 44875(419) 747-3322 Get Directions Write a Review

NPPES record last updated: April 6, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gerald Polk Cdca NPPES

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

GERALD POLK CDCA (NPI 1831696970) is an individual substance abuse treatment, children provider in Shelby, Ohio and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1831696970
Entity TypeIndividualMale
Primary Taxonomy3245S0500X
Provider Legal NameGERALD POLKCredential: CDCA
Location Address2775 STATE ROUTE 39Shelby, OH 44875-9466
Mailing Address2775 State Route 39Shelby, OH 44875-9466 · (419) 747-3322
Phone(419) 747-3322
Sole ProprietorYes
Enumeration DateApril 6, 2018
✔ NPI 1831696970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
Definition
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
2775 STATE ROUTE 39, Shelby, OH 44875
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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.

JENNIFER HORN CDCA
Counselor (Addiction (Substance Use Disorder))
2775 STATE ROUTE 39
SHELBY, OH 44875
Richland County (419) 747-3322
CURT MICHAEL BALAS CDCA
Counselor (Addiction (Substance Use Disorder))
2775 STATE ROUTE 39
SHELBY, OH 44875
Richland County (419) 747-3322
STEPHANIE WINDHAM
Counselor (Addiction (Substance Use Disorder))
2775 STATE ROUTE 39
SHELBY, OH 44875
Richland County (419) 747-3322
SHANE CULLEN
Counselor (Addiction (Substance Use Disorder))
2775 STATE ROUTE 39
SHELBY, OH 44875
Richland County (419) 747-3322
PAIGE SNYDER
Counselor (Addiction (Substance Use Disorder))
2775 STATE ROUTE 39
SHELBY, OH 44875
Richland County (419) 747-3322
JUSTIN MCCRANEY
Counselor (Addiction (Substance Use Disorder))
2775 STATE ROUTE 39
SHELBY, OH 44875
Richland County (419) 747-3322
KATELYNN BIGGS
Counselor (Addiction (Substance Use Disorder))
2775 STATE ROUTE 39
SHELBY, OH 44875
Richland County (419) 747-3322
ZACHARY ADAM RINGLER
Counselor (Addiction (Substance Use Disorder))
2775 STATE ROUTE 39
SHELBY, OH 44875
Richland County (419) 747-3322

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 Gerald Polk's NPI number?

The NPI number for Gerald Polk is 1831696970. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Where is Gerald Polk located?

Gerald Polk practices at 2775 State Route 39, Shelby, OH 44875. The listed phone number is (419) 747-3322.

What is Gerald Polk's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for Gerald Polk was last updated on April 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.