POLARIS MENTAL HEALTH SERVICES NPI 1992513196

NPI Information

  • NPI: 1992513196
  • Provider Name: POLARIS MENTAL HEALTH SERVICES
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 10432 BALLS FORD RD STE 300
    MANASSAS, VA
    ZIP 20109
  • Phone: (571) 229-8708

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NPI Details

POLARIS MENTAL HEALTH SERVICES is a psychiatric/mental health nurse practitioner in Manassas, VA. POLARIS MENTAL HEALTH SERVICES NPI is 1992513196. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10432 BALLS FORD RD STE 300
MANASSAS, VA
ZIP 20109-517
Phone: (571) 229-8708

The provider's authorized official is Garry Dale .
The authorized official title is Office Manager and has the following contact phone number (617) 316-6776.

The enumeration date for this NPI number is 12/20/2024 and was last updated on 12/20/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 3/30/2025

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