Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Roxane Polak, PHD

Individual provider Psychologist · NPI 1639242662

Dr. Roxane Polak, PHD is a Clinical Psychologist in Syosset, New York. Qualified in 1982, 44 years ago. Practices as a sole proprietor and offers telehealth. Licensed in New York.

Years since qualifying
44
Licensed in
NY
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

32 Shamrock Ct
Syosset, NY 11791-2417
Phone: (516) 496-3577
Fax: (516) 496-4742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 0073891 (NY)

Record details

NPI number1639242662
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 16, 2006
Last updated in NPPESJuly 8, 2007
Mailing address32 Shamrock Ct, Syosset, NY 11791-2417

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Syosset