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General NPI Number Information
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NPI Number | 1356287486
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Entity Type | Organization
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Legal Business Name | NORTHSTAR BEHAVIORAL HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 5220 HOOD RD STE 101
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-8910
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Country | US
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Telephone | 561-781-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 420 US HIGHWAY 1 STE 15
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City | NORTH PALM BEACH
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State | FL
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Zip | 33408-5599
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Country | US
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Telephone | 561-781-9400
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Fax |
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Authorized Official
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Title or Position | COMPLIANCE EXECUTIVE ADMINISTRATOR
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Name | JORDAN DE MARIE
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Credential |
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Telephone | 561-503-7933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number |
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License Number State |
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