Active NPI
Northstar Psychotherapy PLLC
- Clinical Social Worker
- Davenport, IA
National Provider Identifier
1629660626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- NORTHSTAR PSYCHOTHERAPY PLLC
- Practice address
- 2805 Eastern Ave Ste 111
Davenport, IA 52803-2074 - Phone
- (563) 528-9786
- NPI assigned
- Feb 10, 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
- Christa Orfitelli
- Title
- Owner/Manager/Sole Member
- Phone
- (563) 528-9786
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Mental Health Occupational Therapist | 225XM0800X |
Addresses
Primary practice location
2805 Eastern Ave Ste 111
Davenport, IA 52803-2074
Mailing address
923 W Rusholme St
Davenport, IA 52804-1821
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | northstartherapyco@gmail.com | Direct |
National Provider Directory
National Provider DirectoryLocations
2805 Eastern Ave
Ste 111
Davenport, IA 52803
Phone (563) 528-9786
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Bettendorf, IA
- NPI 1407998180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612915200000",
"number": "1629660626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 W RUSHOLME ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528041821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 EASTERN AVE STE 111",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528032074",
"telephone_number": "563-528-9786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHSTAR PSYCHOTHERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-10",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A",
"authorized_official_last_name": "ORFITELLI",
"authorized_official_first_name": "CHRISTA",
"authorized_official_title_or_position": "OWNER/MANAGER/SOLE MEMBER",
"authorized_official_telephone_number": "563-528-9786"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "225XM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "northstartherapyco@gmail.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2805 Eastern Ave Ste 111",
"city": "Davenport",
"state": "IA",
"country_code": "US",
"postal_code": "528032074",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.