STARLIGHT CLINIC PLLC NPI 1801764394

NPI Information

  • NPI: 1801764394
  • Provider Name: STARLIGHT CLINIC PLLC
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Organization
  • Address: 6701 CORPORATE DR # 4251
    JOHNSTON, IA
    ZIP 50131
  • Phone: (319) 212-8116

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NPI Details

STARLIGHT CLINIC PLLC is a child and adolescent psychiatry psychiatry neurology in Johnston, IA. 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. STARLIGHT CLINIC PLLC NPI is 1801764394. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6701 CORPORATE DR # 4251
JOHNSTON, IA
ZIP 50131-659
Phone: (319) 212-8116

The provider's authorized official is Burgundy Johnson .
The authorized official title is Psychiatrist and has the following contact phone number (319) 212-8116.

The enumeration date for this NPI number is 10/27/2025 and was last updated on 11/4/2025.

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
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryYes

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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