Organization Active NPI

Northstar Behavioral Health Services, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Palm Beach Gardens, FL
National Provider Identifier
1134039910
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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)CodeLicenseStatePrimary
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 Doing business as

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.

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

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.

Verify at the official NPI Registry.