DR. SCOTT LEE POLTROCK PH.D.
NPI 1861626442
Psychologist - Clinical in Cherry Hill, NJ

Q: What is Scott Poltrock's NPI number?

The NPI number for Scott Poltrock is 1861626442. It was assigned to this individual provider in the NPPES registry on May 11, 2009.

Q: What is Scott Poltrock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Scott Poltrock was last updated on March 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 11, 2009PECOS Enrolled

1812 HADDONFIELD BERLIN RD, CHERRY HILL, NJ 08003(732) 535-3481(732) 587-0713 Get Directions Write a Review

NPPES record last updated: March 25, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Scott Lee Poltrock Ph.d. NPPES

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

DR. SCOTT LEE POLTROCK PH.D. (NPI 1861626442) is an individual clinical provider in Cherry Hill, New Jersey, licensed in New Jersey (35SI00466500) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861626442

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SCOTT LEE POLTROCKCredential: PH.D.

Location Address1812 HADDONFIELD BERLIN RDCherry Hill, NJ 08003-3736

Mailing Address1812 Haddonfield Berlin RdCherry Hill, NJ 08003-3736 · (732) 535-3481 · Fax (732) 587-0713

Phone(732) 535-3481

Fax(732) 587-0713

Sole ProprietorYes

Enumeration DateMay 11, 2009

Last NPPES UpdateMarch 25, 2015

✔ NPI 1861626442 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 NJ · 35SI00466500

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.

1812 HADDONFIELD BERLIN RD, Cherry Hill, NJ 08003

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Scott Lee Poltrock Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08003 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

$185.05 typical visit price

range $61.59 – $185.05

Typical copayment $46.26 (range $15.39 – $46.26)

Most-billed visit code 99205

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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

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

AMBER BENZIGER, LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))

1812 HADDONFIELD BERLIN RD
CHERRY HILL, NJ 08003

Camden County (856) 223-7771

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 Scott Poltrock's NPI number?

The NPI number for Scott Poltrock is 1861626442. It was assigned to this individual provider in the NPPES registry on May 11, 2009.

Where is Scott Poltrock located?

Scott Poltrock practices at 1812 Haddonfield Berlin Rd, Cherry Hill, NJ 08003. The listed phone number is (732) 535-3481.

What is Scott Poltrock's specialty?

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

Is Scott Poltrock enrolled in Medicare?

Yes. Scott Poltrock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Scott Poltrock was last updated on March 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.