Organization Active NPI

Northstar Psychotherapy PLLC

  • Clinical Social Worker
  • Davenport, IA
National Provider Identifier
1629660626
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Christa OrfitelliNPI 1407998180
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Mental Health Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Other URL northstartherapyco@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.