Michael Polisso, LCSW

NPI 1992349310 · on the registry since 2019 · sole proprietor

Practice

Address: 300 Pasteur Drive
Stanford, CA 94305
Phone: (650) 723-4000
Organisation at this address: Gazebo Health
Stanford Hospital
Stanford Hospital
Stanford University
Stanford University
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5,150

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California