MARY JOAN POLAK (NPI# 1851700041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851700041 |
| Entity Type | Individual |
| Full Name | MARY JOAN POLAK |
| Practice Address |
1700 Burleigh St Yankton SD 57078-2418 |
| Practice Telephone | 6052609284 |
| Practice Fax Number | 6052609284 |
| Mailing Telephone | 6052609284 |
| Mailing Fax Number | 6052609284 |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC7157 | SD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 498349901 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851674899 | Mary S Polak | Pharmacist | 7398 N Lindbergh Blvd, Hazelwood, MO 63042-2033 | 2011-09-26 |
| 1417081035 | Mary K Polak | Psychologist | 413 Spring St, Chattanooga, TN 37405-3848 | 2007-03-15 |
| Street Address |
1700 BURLEIGH ST |
| City | YANKTON |
| State | SD |
| Zip Code | 57078-2418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265844534 | Tracie Erdmann | Counselor | 1700 Burleigh St, Yankton, SD 57078-2418 | 2014-05-21 |
| 1114559481 | Alison Boughn | Counselor | 1700 Burleigh St, Yankton, SD 57078-2418 | 2020-02-05 |
| 1538728266 | Adam Joel Hardy | Counselor | 1700 Burleigh St, Yankton, SD 57078-2418 | 2019-06-06 |
| 1144720210 | Loralee Ann Lapointe | Counselor | 1700 Burleigh St, Yankton, SD 57078-2418 | 2018-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719661 | Jime Lynne Rivera | Psychiatry & Neurology | 708 E 21st Street, Yankton, SD 57078 | 2020-11-01 |
| 1043617210 | Kenneth Tomek | Dietitian, Registered | 2100 Broadway St, Yankton, SD 57078 | 2014-12-03 |
| 1932530276 | Jacqueline Ann Kelley | Nurse Practitioner | 1105 West 8th Street, Mount Marty College, Yankton, SD 57078 | 2013-12-12 |
| 1124363130 | Susan Kay Taecker | Occupational Therapist | 1502 Jo Ln, Yankton, SD 57078 | 2012-12-02 |
| 1295865178 | Dr Jon C Baumann Dds PC | Dentist | 809 Belfast Street, Yankton, SD 57078 | 2007-03-07 |
| 1306989090 | Gregory Scott Erickson | Internal Medicine | 501 Summit, Yankton, SD 57078 | 2007-02-14 |
| 1104976356 | Pine Lane Estates LLC | Assisted Living Facility | 2905 Douglas Ave, Yankton, SD 57078 | 2007-01-11 |
| 1518029917 | Teresa M Henrickson | Counselor | 904 W 23rd St Ste 101, Heartland Psychological Services, Yankton, SD 57078 | 2006-12-14 |
| 1396805016 | Joseph G Blackinton | Psychologist | Heartland Psychological Services, 904 W 23rd St Ste 101, Yankton, SD 57078 | 2006-12-11 |
| 1942383468 | Deborah Jean Kachena | Social Worker | 610 W 23rd Street, Yankton, SD 57078 | 2006-10-21 |
| Find all providers in zip 57078 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730646191 | Keley Anne Smith-keller | Counselor | 1105 W 8th St, Yankton, SD 57078-3725 | 2019-02-21 |
| 1386160679 | Tiffany Mooney Browder | Counselor | 610 W 23rd St Ste 8, Yankton, SD 57078-1219 | 2017-08-17 |
| 1427297480 | Robert Peitz | Counselor | 317 Broadway Ave, Suite 10, Yankton, SD 57078-4258 | 2009-02-16 |
| 1609014687 | Estelle Johnson | Counselor | 327 Broadway Ave, Suite 17, Yankton, SD 57078-7801 | 2009-01-28 |
| 1326605445 | Constance Kathryn Birgen | Counselor | 610 W 23rd St Ste 8, Yankton, SD 57078-1219 | 2019-05-23 |
| 1073676631 | Mary C Mayrand-sternhagen | Counselor | Heartland Psychological Services, 904 W 23rd St Ste 101, Yankton, SD 57078 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962019976 | Breakthrough Counseling, LLC | Counselor | 1701 E 69th St Ste A, Sioux Falls, SD 57108-8317 | 2020-09-24 |
| 1972118529 | Angela Renee King | Counselor | 824 Columbus St Apt 403, Rapid City, SD 57701-3579 | 2020-09-10 |
| 1457979007 | Nicole Weron | Counselor | 23433 Sand Ct, Rapid City, SD 57702-6596 | 2020-07-09 |
| 1922666247 | Micah W Heeren | Counselor | 41150 255th St, Mitchell, SD 57301-7836 | 2019-06-01 |
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1568925675 | Allison Walsh | Counselor | 1545 Crestview Dr, Vermillion, SD 57069-3437 | 2019-04-08 |
| 1790259182 | Charlotte Rose Emery | Counselor | 101 Antelpe Lake, Mission, SD 57555 | 2019-01-18 |
| 1104398718 | Tara Jerray Vargas-tucker | Counselor | 101 Antelope Circle, Mission, SD 57555-5755 | 2018-12-20 |
| 1679044663 | Vanessa Iverson | Counselor | 115 S Main Ave, Wagner, SD 57380-2001 | 2018-12-17 |
| 1346746898 | Kerry Koerselman | Counselor | 2100 S Norton Ave, Sioux Falls, SD 57105-3731 | 2018-04-03 |
| Find all providers with the same taxonomy | ||||
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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.