Polaris Psychotherapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

POLARIS PSYCHOTHERAPY PLLC

Practice address

120 N Huron St
Ypsilanti, MI 48197-2610

Phone

(269) 205-3305

NPI assigned

Jan 30, 2020

Organization subpart

No

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

Authorized official

Name

Breanna Greer, LMSWNPI 1275954596

Title

Owner

Phone

(269) 470-8243

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Breanna Greer, MSW

  • Clinical Social Worker
  • Southgate, MI
  • NPI 1275954596
  NPD Authorized official

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1952932824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N HURON ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972610",
            "telephone_number": "269-470-8243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N HURON ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972610",
            "telephone_number": "269-205-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-470-8243",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "polarispsychotherapy.com",
            "affiliation": "N",
            "endpointDescription": "practice website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "120 N Huron St",
            "city": "Ypsilanti",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481972610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kirk Arthur Poenicke, CRNA
• Morgan Pogliano, OTRL
• Kate Lynn Pohlod
• Melissa Ann Pohorence, ATC
• Christine Poisson, M.D.
• Janelle Polasek, LLMSW
• Taylor Polidori, CRNA
• Krystal Poling, LMT
• Belinda Polk, REGISTERED NURSE
• Theodore Z Polley, MD

• Clinical Social Worker in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.