Organization Active NPI

North Star Treatment Group, LLC

  • Community/Behavioral Health Agency
  • Tukwila, WA
National Provider Identifier
1689961500
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
17139500 Issued in WA
Legal business name
NORTH STAR TREATMENT GROUP, LLC
Practice address
130 Andover Park E Ste B105
Tukwila, WA 98188-2907
Phone
(206) 229-6302
Fax
(206) 241-1688
NPI assigned
Jun 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Authorized official

Name
Mr. Talal Sager Hattar
Title
Managing Partner
Phone
(206) 229-6302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 17139500 WA Primary

Addresses

Primary practice location

130 Andover Park E Ste B105
Tukwila, WA 98188-2907

Mailing address

130 Andover Park E Ste B105
Tukwila, WA 98188-2907
Phone (206) 229-6302

National Provider Directory

National Provider Directory

Locations

130 Andover Park E
Ste B105
Tukwila, WA 98188
Phone (206) 229-6302

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": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1689961500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ANDOVER PARK E STE B105",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882907",
            "telephone_number": "206-229-6302",
            "fax_number": "206-241-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 ANDOVER PARK E STE B105",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882907",
            "telephone_number": "206-229-6302",
            "fax_number": "206-241-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR TREATMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "HATTAR",
        "authorized_official_first_name": "TALAL",
        "authorized_official_middle_name": "SAGER",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "206-229-6302",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "17139500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.