Polaris Autism Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

POLARIS AUTISM CENTER

Practice address

1650 W End Blvd Ste 100
St Louis Park, MN 55416-5369

Phone

(952) 228-1299

NPI assigned

Oct 1, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Markabo Hassan

Title

Director

Phone

(952) 228-1299

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1073331674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 W END BLVD STE 100",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W END BLVD STE 100",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165369",
            "telephone_number": "952-228-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "MARKABO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "952-228-1299"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Playful Possibilities Child and Family Therapy, LLC
• Ronald S Pobiel, MD
• Benjamin Pofahl, M.D.
• Joanna J Poinar, PT
• Anthony L Pojman
• Polaris Pharmacy Services of Minnesota, LLC
• Barbara J Polk, FNP
• Hannah Pollack, DPT
• Shelbi Polland
• Melissa Rosewall Polski, MSW, LICSW

• Community/Behavioral Health Agency in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.