Star Behavioral Services, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

STAR BEHAVIORAL SERVICES, INC

Practice address

225 Green St
Suite1007-a
Fayetteville, NC 28301-5045

Phone

(910) 480-1800

Fax

(910) 480-2800

NPI assigned

Jun 17, 2009

Last updated

Jun 17, 2009By 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

Mr. Thadd Jenkins

Title

Owner

Phone

(910) 480-1800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1811124795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 GREEN ST",
            "address_2": "SUITE1007-A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015045",
            "telephone_number": "910-480-1800",
            "fax_number": "910-480-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 GREEN ST",
            "address_2": "SUITE1007-A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015045",
            "telephone_number": "910-480-1800",
            "fax_number": "910-480-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR BEHAVIORAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "THADD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-480-1800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Mann Stanley, FNP-C
• Shataybia Lyzell Stanley, LCSWA
• Howard Stansberry, MD
• Donna Dyer Staples, PHYSICAL THERAPY AS
• Leslie Stapleton
• Star Freedom
• Aminah Starks
• Jacqueline Humphrey Starks, LPTA
• Quenicia Nobles Starks, MSOT, OTR/L
• Teressa Starr, DO

• Community/Behavioral Health Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.