Organization
NORTH STAR PSYCHIATRIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN HAIGH (OWNER)
(505) 412-7756
Entity
Organization
Contact information
Practice address
195 EAST RD STE 104, LOS ALAMOS, NM 87544-4301
(505) 412-7756
Mailing address
195 EAST RD STE 104, LOS ALAMOS, NM 87544-4301
(505) 412-7756
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0168791
NM
103TP0016X
Prescribing (Medical) Psychologist
688
NM
2084P0800X
Psychiatry Physician
MD2013-0659
NM
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD2013-0659
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67620752
—
NM
Enumeration date
04/19/2016
Last updated
06/05/2025
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