POLARIS FAMILY BEHAVIORAL HEALTH, PLLC
NPI 1346807385
Clinic/Center - Adolescent and Children Mental Health in Bellevue, WA

NPI Status: Active since May 24, 2019

Contact Information

1220 116TH AVE NE STE 203
BELLEVUE, WA
ZIP 98004
Phone: (206) 683-3215

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  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health
  • Accepts Insurance

About POLARIS FAMILY BEHAVIORAL HEALTH, PLLC

This page provides the complete NPI Profile along with additional information for Polaris Family Behavioral Health, Pllc, a provider established in Bellevue, Washington operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1346807385 assigned on May 2019. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Rindee G P Ashcraft Ph.d. (Licensed Psychologist)

NPI
1346807385
Provider Name
POLARIS FAMILY BEHAVIORAL HEALTH, PLLC
Entity Type
Organization
Location Address
1220 116TH AVE NE STE 203 BELLEVUE, WA 98004
Location Phone
(206) 683-3215
Mailing Address
PO BOX 51004 SEATTLE, WA 98115
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-24-2019
Last Update Date
08-29-2019
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC2200XBehavioral Health & Social Service Providers

Psychologist
Clinical Child & Adolescent

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RINDEE G P ASHCRAFT PH.D.

Authorized Official Title
LICENSED PSYCHOLOGIST
Authorized Official Phone
(206) 316-2375

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1720147598OTHER (01)NPI

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1346807385
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
238616014316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 1 + 6 + 0 + 1 + 4 + 3 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1346807385 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801021472MRS. SUSAN BANCROFT MACHUCA LMP
Individual
Specialist1220 116TH AVE NE STE 203
BELLEVUE, WA 98004
(206) 436-9883
1932217437DR. JOHN ALBERT ZEITZ M.D.
Individual
Psychiatry & Neurology (Psychiatry)1220 116TH AVE NE STE 203
BELLEVUE, WA 98004
(415) 531-8822
1720147598DR. RINDEE G. P. ASHCRAFT PH.D.
Individual
Psychologist (Clinical)1220 116TH AVE NE STE 203
BELLEVUE, WA 98004
(206) 316-2375
1558916205 LAURA SMESTAD LMHC, NCC
Individual
Counselor (Mental Health)1220 116TH AVE NE STE 203
BELLEVUE, WA 98004
(206) 316-2375
1477765972DRDC CORP.
Organization
Acupuncturist1220 116TH AVE NE STE 203
BELLEVUE, WA 98004
(425) 637-2000
1558575282CHUNG SONG JA CORP
Organization
Acupuncturist1220 116TH AVE NE STE 203
BELLEVUE, WA 98004
(425) 637-2000
1841898145 NAYARA APARECIDA DA COSTA SILVA BEALL LMHCA
Individual
Counselor (Mental Health)1220 116TH AVE NE STE 203
BELLEVUE, WA 98004
(206) 316-2375

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346807385, enumerated in the NPI registry as an "organization" on May 24, 2019

The provider is located at 1220 116th Ave Ne Ste 203 Bellevue, Wa 98004 and the phone number is (206) 683-3215

This medical organization specializes in Clinic/Center with taxonomy code 261QM0855X with a focus in Adolescent and Children Mental Health

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 24, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.