OrganizationActive
Starlight Clinic PLLC
NPI 1801764394 · Child & Adolescent Psychiatry Physician · Johnston, IA
Provider details
- NPI number
- 1801764394
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Burgundy Johnson, Psychiatrist(319) 212-8116
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6701 Corporate Dr # 4251
Johnston, IA 50131-1659
Phone: (319) 212-8116
Approximate (ZIP-level) locationGet directions
Mailing address
6701 Corporate Dr # 4251
Johnston, IA 50131-1659
Registry dates
- Enumerated
- 2025-10-27
- Last updated
- 2025-11-04
- Certified
- 2025-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.