Northstar Psychological LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

NORTHSTAR PSYCHOLOGICAL LLC

Practice address

6500 Rockside Rd Ste 150
Independence, OH 44131-2367

Phone

(330) 331-7506

NPI assigned

May 6, 2026

Last updated

May 6, 2026By 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

Stacy Stout

Title

Billing Manager

Phone

(330) 331-7506

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1778025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1700713534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 PROMWAY AVE NW STE 150",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447207619",
            "telephone_number": "330-331-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 ROCKSIDE RD STE 150",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312367",
            "telephone_number": "330-331-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR PSYCHOLOGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "330-331-7506"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kelliann Nicole Notaro-Salerno, PA-C
• Michael O'Halleran, MD
• Sean Michael O'Neill, AGACNP, MSN, RN
• Doris Anne O'Reilly-Dillon, NP-C
• Occupational Health Centers of Ohio, P.a., Co.

• Adult Mental Health Clinic/Center in Independence, OH
• Providers in Independence, OH by specialty
• Adult Mental Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.