Organization Active NPI

North Star Behavioral Health Services, LLC

  • Clinical Social Worker
  • Torrington, CT
National Provider Identifier
1871141556
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NORTH STAR BEHAVIORAL HEALTH SERVICES, LLC
Practice address
36 Jardon St
Torrington, CT 06790-3204
Phone
(914) 552-2868
NPI assigned
Aug 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Authorized official

Name
Paulette SpagnoloNPI 1578913364
Title
LCSW
Phone
(914) 552-2868

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

36 Jardon St
Torrington, CT 06790-3204

Mailing address

36 Jardon St
Torrington, CT 06790-3204
Phone (914) 552-2868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200102000697 CT Part B Supplier - Clinic/Group Practice 4880028604 Receives reassigned benefits from 4 practitioners
Practice locations: Torrington, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1871141556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 JARDON ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903204",
            "telephone_number": "914-552-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 JARDON ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903204",
            "telephone_number": "914-552-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "SPAGNOLO",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "914-552-2868"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.