Northstar Psychology Inc

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

NORTHSTAR PSYCHOLOGY INC

Practice address

202 N Cedar Ave # 1
Owatonna, MN 55060-2306

Phone

(651) 500-1964

NPI assigned

Oct 16, 2023

Last updated

Oct 16, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

NORTHSTAR PSYCHOLOGY INC.As reported in NPPES

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

Authorized official

Name

Nova BradfordNPI 1447873997

Title

Ceo

Phone

(651) 500-1964

Specialties & licenses 5

Addresses

Tax ID family

Northstar Psychology Inc2 organizations share this tax ID, including this one

Part of

Northstar Psychology Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northstar Psychology Inc

  dba Northstar Digital Health

  • Social Worker
  • Sacramento, CA
  • NPI 1396523460
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nova Bradford, MSW

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1447873997
  NPD Authorized official

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1013799980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 N ST # 6487",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N CEDAR AVE # 1",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602306",
            "telephone_number": "651-500-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR PSYCHOLOGY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHSTAR PSYCHOLOGY INC.",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "NOVA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-500-1964"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neurodiversity Affirming Therapy and Wellness Center
• Judith Nique, LPN
• Lorraine V Njos
• Ruth Ann Nolte, PHYSICAL THERAPIST
• Northstar of Owatonna
• Robert A Nustad, D.D.S., M.S.
• Malack A Nyokwoyo, DNP
• Jennifer L O'Connor, DPT
• Gerard L O'Halloran, MD
• Alan J O'Malley-Laursen, MSW, LICSW

• Social Worker in Owatonna, MN
• Providers in Owatonna, MN by specialty
• Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.