STARGAZE BEHAVIORAL HEALTH
NPI 1225825904
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA

Active since April 24, 2025
3300 HENRY AVE, THREE FALLS SUITE 220, PHILADELPHIA, PA 19129(267) 982-0739 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 13, 2025, Jun 4, 2025 (2 updates tracked since 2025).

About Stargaze Behavioral Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STARGAZE BEHAVIORAL HEALTH (NPI 1225825904) is a healthcare organization registered as a psychiatric/mental health in Philadelphia, Pennsylvania and active in the NPI registry since April 2025. The organization lists Saranda D Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1225825904
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSTARGAZE BEHAVIORAL HEALTH
Location Address3300 HENRY AVE, THREE FALLS SUITE 220Philadelphia, PA 19129
Mailing Address3300 Henry Ave, Three Falls Suite 220Philadelphia, PA 19129 · (267) 982-0739
Organization SubpartNo
Authorized OfficialSaranda D SmithOwner · (267) 982-0739
Enumeration DateApril 24, 2025
Last NPPES UpdateOctober 30, 20252 updates tracked since enumeration
NPPES CertifiedOctober 30, 2025
✔ NPI 1225825904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
3300 HENRY AVE, Philadelphia, PA 19129

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stargaze Behavioral Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Stargaze Behavioral Health, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1003613811
3300 HENRY AVE THREE FALLS SUITE 220
Philadelphia, PA 19129
(267) 928-0739
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stargaze Behavioral Health's NPI number?

The NPI number for Stargaze Behavioral Health is 1225825904. It was assigned to this organization in the NPPES registry on April 24, 2025.

Where is Stargaze Behavioral Health located?

Stargaze Behavioral Health is located at 3300 Henry Ave Three Falls Suite 220, Philadelphia, PA 19129. The listed phone number is (267) 982-0739.

What is Stargaze Behavioral Health's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Stargaze Behavioral Health enrolled in Medicare?

Yes. Stargaze Behavioral Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stargaze Behavioral Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Stargaze Behavioral Health. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stargaze Behavioral Health was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.