Star Behavioral Health, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

STAR BEHAVIORAL HEALTH, PLLC

Practice address

3505 Brambleton Ave
Roanoke, VA 24018-6521

Phone

(540) 512-9754

Fax

(540) 512-9148

NPI assigned

Nov 5, 2018

Organization subpart

No

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

Authorized official

Name

Pamela A Ruppel, PMHNPNPI 1992868657

Title

Nurse Practitioner/Ceo

Phone

(540) 512-9754

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• star health Other name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 5

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

• Pamela Ann Ruppel, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Roanoke, VA
  • NPI 1992868657
  Medicare reassignment Care Compare group NPD Authorized official
• Randall Allen Ruppel, MD

  • Pediatric Critical Care Medicine Physician
  • Roanoke, VA
  • NPI 1598749384
  Medicare reassignment Care Compare group NPD
• Heather M. Saunders, NP

  • Family Nurse Practitioner
  • Roanoke, VA
  • NPI 1720532062
  Medicare reassignment Care Compare group NPD
• Stephanie Diann Sylvester-Johnson, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Roanoke, VA
  • NPI 1023601598
  Medicare reassignment Care Compare group NPD
• Angela D Lauridsen, LPN

  • Licensed Practical Nurse
  • Roanoke, VA
  • NPI 1427510213
  NPD (past)

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1376011650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 BRAMBLETON AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186521",
            "telephone_number": "540-512-9754",
            "fax_number": "540-512-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 BRAMBLETON AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186521",
            "telephone_number": "540-512-9754",
            "fax_number": "540-512-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "RUPPEL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/CEO",
        "authorized_official_telephone_number": "540-512-9754",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992868657",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "star health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "star health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lauren Stanley, NP
• Todd Douglas Stanley, LPC
• Anthony Staples
• Emily Staples, D.O.
• Elizabeth Carter Stapleton
• Star City Dream Oasis LLC
• Star City Eye Care
• Star City Management
• Star City Medtrans, LLC
• Star City Therapy Services

• Psychiatric/Mental Health Nurse Practitioner in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.