NORTH STAR PSYCHIATRIC SERVICES LLC NPI 1316391063

NPI Information

NPI: 1316391063
Provider Name: NORTH STAR PSYCHIATRIC SERVICES, LLC
Classification: Psychiatry & Neurology - 2084P0804X
Specialization: Child & Adolescent Psychiatry
Entity Type: Organization
Address: 195 EAST RD STE 104
LOS ALAMOS, NM
ZIP 87544
Phone: (505) 412-7756

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NPI Details

NORTH STAR PSYCHIATRIC SERVICES, LLC is a child and adolescent psychiatry psychiatry neurology in Los Alamos, NM. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. NORTH STAR PSYCHIATRIC SERVICES, LLC NPI is 1316391063. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

195 EAST RD STE 104
LOS ALAMOS, NM
ZIP 87544-301
Phone: (505) 412-7756

The provider's authorized official is Brian Haigh .
The authorized official title is Owner and has the following contact phone number (505) 412-7756.

The enumeration date for this NPI number is 4/19/2016 and was last updated on 6/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	0168791	NEW MEXICO	No
2	103TP0016X	Psychologist	Prescribing (Medical)	688	NEW MEXICO	No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	MD2013-0659	NEW MEXICO	No
4	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	MD2013-0659	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	67620752	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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