Starlight Behavioral Health LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

STARLIGHT BEHAVIORAL HEALTH LLC

Practice address

400 W Cummings Park Ste 6100
Woburn, MA 01801-6512

Phone

(781) 799-8775

NPI assigned

Nov 14, 2024

Last updated

Dec 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kennedy TambiNPI 1932707445

Title

Ceo

Phone

(781) 799-8775

Specialties & licenses 1

Addresses

Other names 1

• Lucid Behavioral Health Services LLC Former legal business name

Locations

Practitioners 1

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.

• Kennedy Tambi, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Stoneham, MA
  • NPI 1932707445
  NPD Authorized official

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1477377539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 MAIN ST APT 35B",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803384",
            "telephone_number": "781-799-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W CUMMINGS PARK STE 6100",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016512",
            "telephone_number": "781-799-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "TAMBI",
        "authorized_official_first_name": "KENNEDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "781-799-8775",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lucid Behavioral Health Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Lucid Behavioral Health Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jeffrey Stalker, DPT
• Monique Stamboliev
• Emily Rose Stanley, OTR/L
• Star Holistic Health PLLC
• Alexi Starks
• Alyssa Steede
• Vasilika Stefo
• Judith W Stein, M.ED LADC
• Lauren Elizabeth Steiner, AU.D.
• Michael Patrick Stempek, PA-C, MMSC

• Psychiatry Physician in Woburn, MA
• Providers in Woburn, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.