SARA ANNE POLANCHEK (NPI# 1457971004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457971004 |
| Entity Type | Individual |
| Full Name | SARA ANNE POLANCHEK |
| Credential | EDD, LCSW |
| Practice Address |
32 Campus Dr Missoula MT 59812-0003 |
| Practice Telephone | 4062434140 |
| Mailing Telephone | 4062434140 |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2373 | MT | Behavioral Health & Social Service Providers |
| Street Address |
32 CAMPUS DR |
| City | MISSOULA |
| State | MT |
| Zip Code | 59812-0003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578585592 | University of Montana | Physical Therapist | 32 Campus Dr, Skaggs Bldg #129, Missoula, MT 59812-4680 | 2006-07-25 |
| 1558989715 | Katlyn Ann Norton | Specialist/Technologist | 32 Campus Dr, Missoula, MT 59812-0003 | 2020-07-13 |
| 1972121895 | Kevin James Garifi | Specialist/Technologist | 32 Campus Dr, Missoula, MT 59812-0003 | 2020-07-07 |
| 1174141212 | Alexis Mower | Specialist/Technologist | 32 Campus Dr, Missoula, MT 59801-4494 | 2020-07-06 |
| 1336766781 | Isabela M Ortman | Specialist/Technologist | 32 Campus Dr, Missoula, MT 59812-0003 | 2020-07-01 |
| 1710504238 | Jason Ryan Nielsen | Specialist/Technologist | 32 Campus Dr, Missoula, MT 59812-0003 | 2020-06-30 |
| 1184278590 | Samuel Dean Walker | Specialist/Technologist | 32 Campus Dr, Missoula, MT 59812-0003 | 2019-07-25 |
| 1053973479 | Zachary Allen Wisniewski | Specialist/Technologist | 32 Campus Dr, Missoula, MT 59812-0003 | 2019-07-05 |
| 1023670577 | Kian Dei Bertin | Specialist/Technologist | 32 Campus Dr, Missoula, MT 59812-7856 | 2019-07-05 |
| 1083276778 | Marlon Jay Pamiwulf | Specialist/Technologist | 32 Campus Dr, Missoula, MT 59812-0003 | 2019-07-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679094171 | Conor Morrissey Marlatt | Specialist/Technologist | 32 Campus Dr., Missoula, MT 59812 | 2017-07-05 |
| 1932458015 | Nils Jackson | Physical Therapist | 32 Campus Drive, Missoula, MT 59812 | 2012-09-05 |
| 1659520138 | Robert B Curry | Student in an Organized Health Care Education/Training Program | 634 Eddy St, Missoula, MT 59812 | 2008-09-09 |
| 1639382682 | Krista O Wills | Spec/Tech, Pathology | Curry Health Center - University of Montana, 643 Eddy Ave, Missoula, MT 59812 | 2007-05-07 |
| 1841841061 | Lonnie Murphy | Pharmacist | 32 Campus Drive, Skaggs Building 317, Missoula, MT 59812 | 2019-09-28 |
| 1932686839 | Tessa Gorchesky | Specialist/Technologist | 32 Campus Drive, Missoula, MT 59812 | 2018-07-24 |
| 1326329046 | Colleen Marie Ferriter | Dentist | 634 Eddy Ave, Missoula, MT 59812 | 2011-09-08 |
| 1336251396 | Caryn C Guse | Speech-Language Pathologist | 634 Eddy Ave, Chc 009 Montech, Missoula, MT 59812 | 2006-08-31 |
| 1487265302 | Kelli Wrolstad | Physical Therapist | 129 Skaggs Building, Missoula, MT 59812-0001 | 2020-08-13 |
| 1386262483 | Karly Niemann | Specialist/Technologist | Skaggs Bldg 32 Campus Dr, Missoula, MT 59812-0001 | 2020-07-06 |
| Find all providers in zip 59812 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501190 | Sabina Sabyrkulova | Counselor | 313 Sw Higgins Ave, Missoula, MT 59803-1405 | 2020-09-03 |
| 1437712247 | Abrei Cloud Lcsw LLC | Counselor | 111 N Higgins Ave Ste 200-5, Missoula, MT 59802-4437 | 2019-04-17 |
| 1053876912 | Maegan Rides At The Door | Counselor | 4744 Sonoma St, Missoula, MT 59808-9671 | 2019-02-05 |
| 1336649011 | Molly Murphy Counseling | Counselor | 1515 Fairview Ave Ste 240, Missoula, MT 59801-7821 | 2018-02-19 |
| 1508366881 | Kimberly Kay Parrow | Counselor | 401 S 1st St W, Missoula, MT 59801-1850 | 2018-02-13 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1356888069 | Julienne Reid Stickney | Counselor | 410 Expressway Ste C, Missoula, MT 59808-1537 | 2017-01-20 |
| 1558805002 | Dara Kim Newman | Counselor | 510 Arbor Dr, Missoula, MT 59802-3126 | 2016-12-16 |
| 1457806598 | Stephanie Nold | Counselor | 501 Sw Higgins Ave Apt C, Missoula, MT 59803-1451 | 2016-08-18 |
| 1881042190 | Molly Murphy | Counselor | 405 S 1st St W, Missoula, MT 59801-1850 | 2016-05-26 |
| Find all providers in MISSOULA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.