Organization Active NPI

Star Psychiatric Health Care, LLC

  • Psychiatry Physician
  • Danbury, CT
National Provider Identifier
1164798468
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
002719 Issued in CT
Legal business name
STAR PSYCHIATRIC HEALTH CARE, LLC
Practice address
7 Old Sherman Turnpike
Suite 102
Danbury, CT 06810
Phone
(203) 947-5529
Fax
(203) 205-0920
NPI assigned
Mar 30, 2012
Organization subpart
Yes
Parent organization
STAR PSYCHIATRIC HEALTH CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Michele Novella, APRN
Title
Owner-Provider:Star Psychiatric Hea
Phone
(203) 947-5529

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X CT
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 002719 CT Primary

Addresses

Primary practice location

7 Old Sherman Turnpike
Suite 102
Danbury, CT 06810

Mailing address

7 Old Sherman Turnpike
Suite 102
Danbury, CT 06810
Phone (203) 947-5529

National Provider Directory

National Provider Directory
Part of
Star Psychiatric Health Care LLC

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1164798468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 OLD SHERMAN TURNPIKE",
            "address_2": "SUITE 102",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06810",
            "telephone_number": "203-947-5529",
            "fax_number": "203-205-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 OLD SHERMAN TURNPIKE",
            "address_2": "SUITE 102",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06810",
            "telephone_number": "203-947-5529",
            "fax_number": "203-205-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR PSYCHIATRIC HEALTH CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STAR PSYCHIATRIC HEALTH CARE, LLC",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "NOVELLA",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER-PROVIDER:STAR PSYCHIATRIC HEA",
        "authorized_official_telephone_number": "203-947-5529",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "002719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.