POLARIS MENTAL HEALTH SERVICES
NPI 1992513196
Nurse Practitioner - Psychiatric/Mental Health in Manassas, VA

Active since December 20, 2024
10432 BALLS FORD RD STE 300, MANASSAS, VA 20109(571) 229-8708 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Polaris Mental Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POLARIS MENTAL HEALTH SERVICES (NPI 1992513196) is a healthcare organization registered as a psychiatric/mental health in Manassas, Virginia and active in the NPI registry since December 2024. The organization lists Garry Dale, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1992513196
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePOLARIS MENTAL HEALTH SERVICES
Location Address10432 BALLS FORD RD STE 300Manassas, VA 20109-2517
Mailing Address10432 Balls Ford Rd Ste 300Manassas, VA 20109-2517
Organization SubpartNo
Authorized OfficialGarry DaleOffice Manager · (617) 316-6776
Enumeration DateDecember 20, 2024
NPPES CertifiedDecember 20, 2024
✔ NPI 1992513196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
10432 BALLS FORD RD STE 300, Manassas, VA 20109

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Polaris Mental Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Polaris Mental Health Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1962762237
10432 BALLS FORD RD
Manassas, VA 20109
(571) 229-8708
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Polaris Mental Health Services's NPI number?

The NPI number for Polaris Mental Health Services is 1992513196. It was assigned to this organization in the NPPES registry on December 20, 2024.

Where is Polaris Mental Health Services located?

Polaris Mental Health Services is located at 10432 Balls Ford Rd Ste 300, Manassas, VA 20109. The listed phone number is (571) 229-8708.

What is Polaris Mental Health Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Polaris Mental Health Services enrolled in Medicare?

Yes. Polaris Mental Health Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Polaris Mental Health Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Polaris Mental Health Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Polaris Mental Health Services was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.