Polaris Family Behavioral Health, PLLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

POLARIS FAMILY BEHAVIORAL HEALTH, PLLC

Practice address

1220 116TH Ave NE Ste 203
Bellevue, WA 98004-3826

Phone

(206) 683-3215

NPI assigned

May 24, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Rindee G P Ashcraft, PH.D.NPI 1720147598

Title

Licensed Psychologist

Phone

(206) 316-2375

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rindee G. P. Ashcraft, PH.D.

  • Clinical Psychologist
  • Bellevue, WA
  • NPI 1720147598
  NPD (past) Authorized official
• Abram D Johnson, MHCA

  • Mental Health Counselor
  • Bellevue, WA
  • NPI 1194657585
  NPD (past)

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1346807385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51004",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981151004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 116TH AVE NE STE 203",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043826",
            "telephone_number": "206-683-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS FAMILY BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "ASHCRAFT",
        "authorized_official_first_name": "RINDEE",
        "authorized_official_middle_name": "G P",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "206-316-2375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720147598",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Fang PO, PA
• Podiatric Physicians and Surgeons P.S.
• Anne Marie Poe, L.M.P
• Delaney Poggemann
• Maynard L Pohl, OD
• Danielle Polewko
• Lana Polinger, MA,LMHC
• Eleni A. Polites, OTR
• Serena Pollard
• Antonela Polotanu, DDS

• Adolescent and Children Mental Health Clinic/Center in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Adolescent and Children Mental Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.