Active NPI
Polaris Psychiatry PLLC
- Psychiatry Physician
- Hartford, CT
National Provider Identifier
1073396131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- POLARIS PSYCHIATRY PLLC
- Practice address
- 674 Prospect Ave Ste 4
Hartford, CT 06105-4288 - Phone
- (860) 846-7137
- Fax
- (860) 590-3921
- NPI assigned
- Aug 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher Hammel, MD, MPH
- Title
- Managing Member
- Phone
- (860) 846-7137
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
674 Prospect Ave Ste 4
Hartford, CT 06105-4288
Mailing address
674 Prospect Ave Ste 4
Hartford, CT 06105-4288
Phone (860) 846-7137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230928000698 | CT | Part B Supplier - Clinic/Group Practice | 2961856794 | Practice locations: Hartford, CT |
National Provider Directory
National Provider DirectoryLocations
674 Prospect Ave
Ste 4
Hartford, CT 06105
Phone (860) 590-3921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691971200000",
"number": "1073396131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "674 PROSPECT AVE STE 4",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061054288",
"telephone_number": "860-846-7137",
"fax_number": "860-590-3921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "674 PROSPECT AVE STE 4",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061054288",
"telephone_number": "860-846-7137",
"fax_number": "860-590-3921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POLARIS PSYCHIATRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-14",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A",
"authorized_official_last_name": "HAMMEL",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "860-846-7137",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, MPH"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.