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Contact Information

NORTH STAR PSYCHIATRIC SERVICES, LLC
195 EAST RD STE 104
LOS ALAMOS, NM87544-4301
 Phone: 505-412-7756
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Mental Health

101YM0800X
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for NORTH STAR PSYCHIATRIC SERVICES, LLC

NPI # 1316391063
LBN Legal business name NORTH STAR PSYCHIATRIC SERVICES, LLC
Authorized official BRIAN HAIGH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/19/2016
Last updated 06/05/2025 - About 12 months ago
Identifiers
NM License # 0168791
NM License # 688
NM License # MD2013-0659
NM Medicaid 67620752
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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