Organization Active NPI

Polaris Psychiatry LLC

  • Psychiatry Physician
  • Hartford, CT
National Provider Identifier
1518798677
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
POLARIS PSYCHIATRY LLC
Practice address
674 Prospect Ave Ste 5B
Hartford, CT 06105-4288
Phone
(401) 835-7614
Fax
(860) 370-4005
NPI assigned
Aug 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Tonya Ruggieri, MDNPI 1336676055
Title
Owner
Phone
(401) 835-7614

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

674 Prospect Ave Ste 5B
Hartford, CT 06105-4288

Mailing address

674 Prospect Ave Ste 5B
Hartford, CT 06105-4288
Phone (401) 835-7614

Other names 1

  • Polaris Psychiatry PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

674 Prospect Ave
Ste 5B
Hartford, CT 06105
Phone (401) 835-7614

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1518798677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 PROSPECT AVE STE 5B",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054288",
            "telephone_number": "401-835-7614",
            "fax_number": "860-370-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 PROSPECT AVE STE 5B",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054288",
            "telephone_number": "401-835-7614",
            "fax_number": "860-370-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-11",
        "status": "A",
        "authorized_official_last_name": "RUGGIERI",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-835-7614",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polaris Psychiatry PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 12, 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.