North Star Foundation

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

NORTH STAR FOUNDATION

Practice address

20 Deerfield LN
Storrs, CT 06268-2712

Phone

(860) 423-0664

NPI assigned

Aug 20, 2020

Last updated

Aug 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patty Dobbs Gross, MA IN ED PSYCH

Title

Executive Director

Phone

(860) 423-0664

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1174135032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 DEERFIELD LN",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062682712",
            "telephone_number": "860-423-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 DEERFIELD LN",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062682712",
            "telephone_number": "860-423-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "PATTY",
        "authorized_official_middle_name": "DOBBS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-423-0664",
        "authorized_official_credential": "MA IN ED PSYCH"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.northstardogs.com",
            "affiliation": "N",
            "endpointDescription": "website for North Star Foundation",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "URL",
            "address_1": "20 Deerfield Ln",
            "city": "Storrs",
            "state": "CT",
            "country_code": "US",
            "postal_code": "062682712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.northstardogs.com",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "website",
            "address_1": "20 Deerfield Ln",
            "city": "Storrs",
            "state": "CT",
            "country_code": "US",
            "postal_code": "062682712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Jennifer Theresa Pereira, APRN
• Sarah Musumano Phillips, NP

• Adolescent and Children Mental Health Clinic/Center in Storrs, CT
• Providers in Storrs, CT by specialty
• Adolescent and Children Mental Health Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.