Christina M Polk
Nurse Practitioner, Psych/Mental Health in Madison, Connecticut
1457516502- Practice location
- 32 Wall St Ste C, Madison, CT 06443-3100
- Phone
- 203-245-0412
- Fax
- 203-427-0441
- Last updated
- August 17, 2026
Christina Marie Polk is a Nurse Practitioner, Psych/Mental Health based in Madison, CT. Christina Marie Polk practices in Madison, CT. The NPI Number for Christina Marie Polk is 1457516502 and holds a License No. 17648 (CT). The current practice location address for Christina Marie Polk is 32 Wall St Ste C, Madison, CT 06443-3100 and can be reached out via phone at 203-245-0412 and via fax at 203-427-0441.
Provider Profile Details
- NPI Number
- 1457516502
- Provider Name
- Christina Marie Polk
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 32 Wall St Ste C, Madison, CT 06443-3100
- Phone Number
- 203-245-0412
- Fax Number
- 203-427-0441
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 28, 2008
- Last Update Date
- August 17, 2026
- Certification Date
- August 17, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 32 Wall St Ste C
Madison, CT 06443-3100 - City
- Madison
- State
- Connecticut
- Zip
- 06443-3100
- Phone Number
- 203-245-0412
- Fax Number
- 203-427-0441
Provider Business Mailing Address Details
- Address
- 32 Wall St Ste C
Madison, CT 06443-3100 - City
- Madison
- State
- CT
- Zip
- 06443-3100
- Phone Number
- 203-245-0412
- Fax Number
- 203-427-0441
License Information
- License Number (1)
- 17648
- License State (1)
- CT
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
- License Number (2)
- CSW0000007246
- License State (2)
- TN
- Taxonomy (2)
- Social Worker · 104100000X
- License Number (3)
- 117385
- License State (3)
- MA
- Taxonomy (3)
- Social Worker, Clinical · 1041C0700X
- License Number (4)
- 6174
- License State (4)
- TN
- Taxonomy (4)
- Social Worker, Clinical · 1041C0700X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Christina M Polk?
The NPI number of Christina M Polk is 1457516502. It was assigned on July 28, 2008 and is currently active in the NPPES registry.
What is the specialty of Christina M Polk?
Christina M Polk is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 17648.
Where does Christina M Polk practice?
The practice location is 32 Wall St Ste C, Madison, CT 06443-3100. The office can be reached at 203-245-0412 (phone) or 203-427-0441 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457516502 directly on the NPPES registry website.