Healthcare Provider Details
I. General information
NPI: 1952236523
Provider Name (Legal Business Name): POLESTAR THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
34 MAIN ST STE 5
AMHERST MA
01002-2356
US
IV. Provider business mailing address
34 MAIN ST STE 5
AMHERST MA
01002-2356
US
V. Phone/Fax
- Phone: 413-221-5733
- Fax:
- Phone: 413-221-5733
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TP2701X |
| Taxonomy | Group Psychotherapy Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAMIE
D
DANIELS
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: PH.D., LICSW, MSW
Phone: 413-221-5733