Organization Active NPI

Northstar Recovery Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Southborough, MA
National Provider Identifier
1316616105
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
NORTHSTAR RECOVERY CENTER, LLC
Practice address
132 Turnpike Rd Ste 200
Southborough, MA 01772-2129
Phone
(508) 688-2754
NPI assigned
Sep 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Steven Windward
Title
Principal
Phone
(508) 688-2754

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

132 Turnpike Rd Ste 200
Southborough, MA 01772-2129

Mailing address

132 Turnpike Rd Ste 200
Southborough, MA 01772-2129

Other practice location 1

1319 Riverdale St
West Springfield, MA 01089-4916
Phone (508) 688-2754

Other identifiers 1

IdentifierTypeStateIssuer
2040OtherMASTATE LICENSE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2300652Northstar Recovery Center, LLC132 Turnpike Rd, Suite 200, Southborough, MA 01772Certificate of waiverMar 13, 2028
22D2301023Northstar Recovery Center, LLC1319 Riverdale Street, West Springfield, MA 01089Certificate of waiverMar 19, 2028

National Provider Directory

National Provider Directory

Locations

132 Turnpike Rd
Ste 200
Southborough, MA 01772
Phone (508) 216-0911

1319 Riverdale St
West Springfield, MA 01089
Phone (469) 684-4410

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1316616105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 TURNPIKE RD STE 200",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017722129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 TURNPIKE RD STE 200",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017722129",
            "telephone_number": "508-688-2754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1319 Riverdale St",
            "address_purpose": "LOCATION",
            "city": "West Springfield",
            "state": "MA",
            "postal_code": "010894916",
            "country_code": "US",
            "telephone_number": "508-688-2754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHSTAR RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "WINDWARD",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "508-688-2754"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2040",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.