Polar Star Behavioral Health LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

POLAR STAR BEHAVIORAL HEALTH LLC

Practice address

7400 Metro Blvd Ste 190
Edina, MN 55439-2361

Phone

(952) 594-9734

NPI assigned

Jan 16, 2025

Last updated

Jan 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ilham Hassan Dahir

Title

Owner

Phone

(952) 594-9734

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1629889811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 METRO BLVD STE 190",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392361",
            "telephone_number": "952-594-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 METRO BLVD STE 190",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392361",
            "telephone_number": "952-594-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLAR STAR BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "DAHIR",
        "authorized_official_first_name": "ILHAM",
        "authorized_official_middle_name": "HASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-594-9734"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Plombon, LPCC, LADC
• Dominic Anthony Plucinski, MD
• Curtis Plueger, DC
• Mary Jo Ann Poggi, MA LP
• Alexandra Pohlad, MA
• Elaina Marie Polk, RN
• Virginia Pollen, DPT
• Nancy J Poole, CNP
• Joyce Popp, L.P.
• Melanie Belleau Popp, CCC-A

• Clinic/Center in Edina, MN
• Providers in Edina, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.