Northern Lights Psychiatric Services SC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

NORTHERN LIGHTS PSYCHIATRIC SERVICES SC

Practice address

826 S Hastings Way
Eau Claire, WI 54701-3426

Phone

(715) 838-9173

Fax

(715) 834-3174

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Michael J Murray, M.D.

Title

Owner

Phone

(715) 838-9173

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821196171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 S HASTINGS WAY",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013426",
            "telephone_number": "715-838-9173",
            "fax_number": "715-834-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 S HASTINGS WAY",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013426",
            "telephone_number": "715-838-9173",
            "fax_number": "715-834-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LIGHTS PSYCHIATRIC SERVICES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-838-9173",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31815200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd M Nordwig, CRNA
• Stanley G Norman, MD
• Cassandra Marie Normand
• North American Partners in Anesthesia Wisconsin SC
• Taylor Jackson North, DO, MS
• Northern Pines Ear Nose and Throat SC
• Northern Woods Wellness LLC
• Northwest Journey - Eau Claire
• Northwest Radiation Oncology Associates, SC
• Linda L Norton, CSAC

• Psychiatry Physician in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.