NPIMap

Organization Active NPI

North Star Family Autism Center

  • Psychologist
  • Edison, NJ
National Provider Identifier
1902557093
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
NORTH STAR FAMILY AUTISM CENTER
Practice address
811 Amboy Ave Ste B
Edison, NJ 08837-3275
Phone
(732) 301-4704
NPI assigned
Jan 11, 2022
Last updated
Dec 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Authorized official

Name
Dr. Kate Fiske Massey, PHDNPI 1699426775
Title
Director
Phone
(732) 301-4704

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
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

811 Amboy Ave Ste B
Edison, NJ 08837-3275

Mailing address

811 Amboy Ave Ste B
Edison, NJ 08837-3275
Phone (732) 301-4704

National Provider Directory

National Provider Directory

Locations

811 Amboy Ave
Ste B
Edison, NJ 08837
Phone (732) 301-4704

20 Hillside Ave
Unit C
Metuchen, NJ 08840

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1902557093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 AMBOY AVE STE B",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373275",
            "telephone_number": "732-301-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 AMBOY AVE STE B",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373275",
            "telephone_number": "732-301-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR FAMILY AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "KATE",
        "authorized_official_middle_name": "FISKE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-301-4704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.