Active NPI
Northstar Behavioral Health Services, LLC
- Adolescent and Children Mental Health Clinic/Center
- Palm Beach Gardens, FL
National Provider Identifier
1134039910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- NORTHSTAR BEHAVIORAL HEALTH SERVICES, LLC
- Practice address
- 4750 E Park Dr Ste 110
Palm Beach Gardens, FL 33410-4333 - Phone
- (561) 781-9400
- NPI assigned
- Sep 11, 2026
- Organization subpart
- Yes
- Parent organization
- NORTHSTAR BEHAVIORAL HEALTH SERVICES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kim Wade
- Title
- Director of Finance
- Phone
- (561) 308-8441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary |
Addresses
Primary practice location
4750 E Park Dr Ste 110
Palm Beach Gardens, FL 33410-4333
Mailing address
420 US Highway 1 Ste 15
North Palm Beach, FL 33408-5599
Phone (561) 781-9400
Other names 1
- Northstar Day Program
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Behavioral Neurology & Neuropsychiatry Physician
- Palm Beach Gardens, FL
- NPI 1356287486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789084800000",
"number": "1134039910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 US HIGHWAY 1 STE 15",
"city": "NORTH PALM BEACH",
"state": "FL",
"postal_code": "334085599",
"telephone_number": "561-781-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 E PARK DR STE 110",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104333",
"telephone_number": "561-781-9400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHSTAR BEHAVIORAL HEALTH SERVICES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTHSTAR BEHAVIORAL HEALTH SERVICES, LLC",
"enumeration_date": "2026-09-11",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A",
"authorized_official_last_name": "WADE",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "561-308-8441"
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Northstar Day Program",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Palm Beach Gardens, FL
- Northlake Medical Center
- Northlake Pharmacy LLC
- Northlake Pharmacy LLC
- Northlake Recovery, LLC
- Northland Hearing Centers Inc
- Northstar Behavioral Health Services, LLC
- Northstar Collaboration Health Institute, Inc
- Northstar Collaborative Health Institute, Inc.
- Michael Anthony Nowak, M.D.
- Amelia Baena Nunez, M.S., RMFTI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.