Active NPI
Northstar Recovery Center, LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Southborough, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2040 | Other | MA | STATE LICENSE |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2300652 | Northstar Recovery Center, LLC | Certificate of waiver | Mar 13, 2028 |
| 22D2301023 | Northstar Recovery Center, LLC | Certificate of waiver | Mar 19, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Southborough, MA
- NPI 1225827942
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.