NPIMap

Organization Active NPI

North Star Psychiatric Services, LLC

  • Child & Adolescent Psychiatry Physician
  • Los Alamos, NM
National Provider Identifier
1316391063
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD2013-0659 Issued in NM
Legal business name
NORTH STAR PSYCHIATRIC SERVICES, LLC
Practice address
195 East Rd Ste 104
Los Alamos, NM 87544-4301
Phone
(505) 412-7756
NPI assigned
Apr 19, 2016
Last updated
Jun 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Dr. Brian HaighNPI 1972746642
Title
Owner
Phone
(505) 412-7756

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0168791 NM
Psychiatry Physician 2084P0800X MD2013-0659 NM
Child & Adolescent Psychiatry Physician 2084P0804X MD2013-0659 NM Primary
Prescribing (Medical) Psychologist 103TP0016X 688 NM

Addresses

Primary practice location

195 East Rd Ste 104
Los Alamos, NM 87544-4301

Mailing address

195 East Rd Ste 104
Los Alamos, NM 87544-4301
Phone (505) 412-7756

Other identifiers 1

IdentifierTypeStateIssuer
67620752MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
North Star Psychiatric Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1475 Central Ave
Ste 210
Los Alamos, NM 87544
Phone (505) 490-2381

195 East Rd
Ste 104
Los Alamos, NM 87544
Phone (505) 412-7756

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1316391063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 EAST RD STE 104",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444301",
            "telephone_number": "505-412-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 EAST RD STE 104",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444301",
            "telephone_number": "505-412-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "HAIGH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-412-7756",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0168791",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "MD2013-0659",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NM",
            "license": "MD2013-0659",
            "primary": true
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NM",
            "license": "688",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67620752",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.