Northstar Professional Services

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

1952 Issued in MN

Legal business name

NORTHSTAR PROFESSIONAL SERVICES

Practice address

924 Rice St
Saint Paul, MN 55117-4987

Phone

(612) 644-8835

NPI assigned

Oct 7, 2015

Last updated

Oct 20, 2015By 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

Patrick William Kemper, M.D.

Title

Medical Director

Phone

(612) 644-8835

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1518338268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 RICE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551174987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 RICE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551174987",
            "telephone_number": "612-644-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "KEMPER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "612-644-8835",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "1952",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "1952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northstar Behavioral Health
• Northstar Circle of Companies, Inc. (NCC, Inc.)
• Northstar Health
• Northstar Mental Health Services LLC
• Northstar Mobility, LLC
• Northstar Radiology PLLC
• Northstar Transportation Services
• Northwest Home Health Care Services, LLC
• Northwest Opticians Inc
• Kimberly Northwick

• Substance Abuse Rehabilitation Facility in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Substance Abuse Rehabilitation Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.