NORTH STAR FOUNDATION (NPI# 1174135032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174135032 |
| Entity Type | Organization |
| Organization Name | NORTH STAR FOUNDATION |
| Practice Address |
20 Deerfield Ln Storrs CT 06268-2712 |
| Practice Telephone | 8604230664 |
| Mailing Telephone | 8604230664 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| Authorized Official Name | PATTY DOBBS GROSS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8604230664 |
| Authorized Official Credential | MA IN ED PSYCH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NORTH STAR FOUNDATION | 2314 Nw Savier St, Portland, OR 97210 |
| New York State Corporations | NORTH STAR FOUNDATION, INC. | New York |
| Virginia Business Entities | NORTH STAR FOUNDATIONS INC. | 5920 Frederick Crossing Lane, Frederick, Maryland 21704 |
| Street Address |
20 DEERFIELD LN |
| City | STORRS |
| State | CT |
| Zip Code | 06268-2712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354401 | Brandon Hallaway | Specialist/Technologist | 2098 Hillside Rd, Storrs, CT 06268 | 2020-10-21 |
| 1952965196 | Kelsey Rankin | Kinesiotherapist | 100 Jim Calhoun Way, Storrs, CT 06268 | 2019-04-23 |
| 1215312137 | Patricia M Baker | Social Worker | 945 Storrs Rd, Storrs Mansfield, CT 06268 | 2015-07-21 |
| 1760866719 | Loving Hands Chiropractic LLC | Chiropractor | 1733 Storrs Rd Ste 11, Storrs, CT 06268 | 2015-07-18 |
| 1073939336 | Price Chopper Inc | Pharmacy | 1220 Storrs Road, Storrs Mansfield, CT 06268 | 2014-03-11 |
| 1770827776 | Annmarie Green Bolduc | Nurse Practitioner | 1 Royce Circle, Ste 104, Uconn Medical Group, Storrs, CT 06268 | 2012-11-15 |
| 1922251859 | Kimberly A Barton | Psychologist | 1066 Storrs Rd., Suite E, Storrs, CT 06268 | 2008-10-22 |
| 1639335813 | Michael Thomas Hurlock | Counselor | 9 Dunham Pond Road, Storrs, CT 06268 | 2008-08-06 |
| 1013183979 | Jean Ann Kenny | Social Worker | 17 Lynwood Rd, Storrs, CT 06268 | 2008-05-01 |
| 1790962397 | Hans L Franzen | Marriage & Family Therapist | 1066 Storrs Road, Storrs, CT 06268 | 2008-01-25 |
| Find all providers in zip 06268 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780195339 | Rachel Collins, Lpc | Clinic/Center | 410 State St Rm 1, North Haven, CT 06473-3149 | 2017-10-22 |
| 1376054148 | Joann Flynn LLC. | Clinic/Center | 3 Swanswood Ln, Old Lyme, CT 06371-1867 | 2017-10-19 |
| 1942723036 | Kellys Kids, Inc | Clinic/Center | 9 Spring Rd, Prospect, CT 06712-1522 | 2017-07-20 |
| 1295256840 | B.e.a.u.t.y, LLC | Clinic/Center | 824 Main St Ste F, Manchester, CT 06040-6048 | 2017-07-05 |
| 1518413442 | Community Partners In Action | Clinic/Center | 995 Sherman Ave, Hamden, CT 06514-1144 | 2016-08-31 |
| 1952760803 | Darbonshire, LLC | Clinic/Center | 304 Wahackme Rd, New Canaan, CT 06840-3936 | 2016-02-21 |
| 1760738025 | Psychologist Adriana L Gonzalez Phd Pllc | Clinic/Center | 85 Hillcrest Terrace, Meriden, CT 06450 | 2012-07-24 |
| 1497025035 | Ct Clinical Services, Inc. | Clinic/Center | 189 Orange St, New Haven, CT 06510-2014 | 2012-01-12 |
| 1093950032 | Yale Parenting and Child Conduct Clinic | Clinic/Center | 314 Prospect St, New Haven, CT 06511-2187 | 2008-12-04 |
| 1710185731 | Waterford Country School, Inc. | Clinic/Center | 78 Hunts Brook Rd, Quaker Hill, CT 06375-1009 | 2007-07-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.