Healthcare Provider Details

I. General information

NPI: 1568373454
Provider Name (Legal Business Name): NORTH STAR BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 MAIN ST STE 4223
NASHUA NH
03060-2913
US

IV. Provider business mailing address

221 MAIN ST STE 4223
NASHUA NH
03060-2913
US

V. Phone/Fax

Practice location:
  • Phone: 781-630-4062
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State

VIII. Authorized Official

Name: SUJEIRY SARAVIA
Title or Position: PRESIDENT
Credential:
Phone: 781-630-4062