Provider Demographics
NPI:1194179069
Name:NORTH STAR PSYCHIATRY PLLC
Entity Type:Organization
Organization Name:NORTH STAR PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HUSNAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHRAF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-724-5435
Mailing Address - Street 1:712 SHREWSBURY PL
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-0138
Mailing Address - Country:US
Mailing Address - Phone:516-724-1259
Mailing Address - Fax:
Practice Address - Street 1:8201 OHIO DR STE 112
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-2358
Practice Address - Country:US
Practice Address - Phone:516-724-5435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-18
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)