Organization Active NPI

Polaris Psychiatry PLLC

  • Psychiatry Physician
  • Hartford, CT
National Provider Identifier
1073396131
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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

Updated by the provider on Aug 14, 2023

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20230928000698 CT Part B Supplier - Clinic/Group Practice 2961856794 Practice locations: Hartford, CT

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.