Healthcare Provider Details
I. General information
NPI: 1780592865
Provider Name (Legal Business Name): NORTH STAR THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9400 MCKNIGHT RD STE 201
PITTSBURGH PA
15237-6007
US
IV. Provider business mailing address
9400 MCKNIGHT RD STE 201
PITTSBURGH PA
15237-6007
US
V. Phone/Fax
- Phone: 412-397-8446
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JESSICA
MCMAHON
Title or Position: THERAPIST
Credential: LPC
Phone: 201-693-0106