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

Michael J Polan, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1821773573

Michael J Polan, PMHNP is a Nurse Practitioner in Brooklyn, New York. Qualified in 2023, 3 years ago. Practices with Revcore Recovery Center of Manhattan LLC, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

15 2nd Ave Fl 3
Brooklyn, NY 11215-2711
Phone: (718) 514-6007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 405258 (NY)
Ambulatory Care Registered Nurse Taxonomy 163WP2201X · Licence 712808 (NY)

Record details

NPI number1821773573
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedJune 20, 2023
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Revcore Recovery Center Of Manhattan Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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