Northstar Clinical Services

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

NORTHSTAR CLINICAL SERVICES

Practice address

322 Lamar Ave Ste 220
Charlotte, NC 28204-2436

Phone

(980) 237-0401

NPI assigned

May 1, 2020

Organization subpart

No

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

Authorized official

Name

Derrick Johnson

Title

Ceo

Phone

(980) 505-2353

Specialties & licenses 1

Addresses

Tax ID family

Northstar Clinical Services2 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.

• Northstar Clinical Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Charlotte, NC
  • NPI 1194372029
  NPD tax ID

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1336760222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 LAMAR AVE STE 220",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 LAMAR AVE STE 220",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042436",
            "telephone_number": "980-237-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "980-505-2353"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northlake Chiropractic PC
• Northland Hearing Centers Inc
• Northland Hearing Centers, Inc.
• Northstar Care Group LLC
• Northstar Clinical Services
• Northwest Family Physicians, P.a.
• Catherine B Norton, MD
• Diana Catherine Norton, MD
• Kimberly Ann Norton, LAT
• Nancy L Norton

• Substance Use Disorder Rehabilitation Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.