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POLARIS FAMILY BEHAVIORAL HEALTH PLLC NPI 1346807385


NPI Information

NPI: 1346807385
Provider Name: POLARIS FAMILY BEHAVIORAL HEALTH, PLLC
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
1220 116TH AVE NE STE 203
BELLEVUE, WA
ZIP 98004
Phone: (206) 683-3215
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POLARIS FAMILY BEHAVIORAL HEALTH, PLLC is an adolescent and children mental health clinic center in Bellevue, WA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. POLARIS FAMILY BEHAVIORAL HEALTH, PLLC NPI is 1346807385. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1220 116TH AVE NE STE 203
BELLEVUE, WA
ZIP 98004-826
Phone: (206) 683-3215

The provider's authorized official is Rindee G P Ashcraft .
The authorized official title is Licensed Psychologist and has the following contact phone number (206) 316-2375.

The enumeration date for this NPI number is 5/24/2019 and was last updated on 8/29/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC2200XPsychologistClinical Child & AdolescentNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11720147598OTHERNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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