Provider Demographics
NPI:1225411432
Name:ARCADIA PSYCHOLOGY
Entity Type:Organization
Organization Name:ARCADIA PSYCHOLOGY
Other - Org Name:JOAN POLANSKY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:POLANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:602-621-0468
Mailing Address - Street 1:5090 N 40TH ST
Mailing Address - Street 2:SUITE 190A
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-2111
Mailing Address - Country:US
Mailing Address - Phone:602-621-0468
Mailing Address - Fax:602-954-5245
Practice Address - Street 1:5090 N 40TH ST
Practice Address - Street 2:SUITE 190A
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-2111
Practice Address - Country:US
Practice Address - Phone:602-621-0468
Practice Address - Fax:602-954-5245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-07
Last Update Date:2015-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3399103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty