# NORTHSTAR BEHAVIORAL HEALTH SERVICES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Palm Beach Behavioral Health and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356287486
- **Authorized official:** KIM WADE (DIRECTOR OF FINANCE)
- **Authorized official phone:** (561) 308-8441

## Contact information

- **Practice address:** 4750 E PARK DR STE 110, PALM BEACH GARDENS, FL 33410-4333
- **Practice address phone:** (561) 781-9400
- **Mailing address:** 420 US HIGHWAY 1 STE 15, NORTH PALM BEACH, FL 33408-5599
- **Mailing address phone:** (561) 781-9400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TP2701X | Group Psychotherapy Psychologist | — | NULL | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | — | — |
| 133N00000X | Nutritionist | — | NULL | — |
| 133N00000X | Nutritionist | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | — | NULL | — |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | — | — | — |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | NULL | — |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | — | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/29/2026
- **Last updated:** 10/07/2026