MEDICARE: POLESTAR THERAPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TP2701X	Group Psychotherapy Psychologist

General Provider Information

NPI Number	:	1952236523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POLESTAR THERAPY, LLC

Provider Business Mailing Address
First Line	:	34 MAIN ST STE 5
Second Line	:
City	:	AMHERST
State	:	MA
Zip	:	01002-2356
Country	:	US
Telephone Number	:	413-221-5733
Fax Number	:

Provider Business Practice Location Address
First Line	:	34 MAIN ST STE 5
Second Line	:
City	:	AMHERST
State	:	MA
Zip	:	01002-2356
Country	:	US
Telephone Number	:	413-221-5733
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CLINICAL DIRECTOR
Name	:	DR. JAMIE D DANIELS
Credential	:	PH.D., LICSW, MSW
Telephone Number	:	413-221-5733

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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Directions to “POLESTAR THERAPY, LLC ” Practice Location

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