DR. ELLEN F. STARK (NPI# 1023197787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023197787 |
| Entity Type | Individual |
| Full Name | DR. ELLEN F. STARK |
| Credential | PH.D. |
| Practice Address |
1150 N Main St Mansfield OH 44903-9718 |
| Practice Telephone | 4195254455 |
| Mailing Telephone | 3303343450 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2009-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
5647 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801169420 | Ellen Stark | Psychologist | 4955 S Durango Dr Ste 207, Las Vegas, NV 89113-0156 | 2012-02-13 |
| Street Address |
1150 N MAIN ST |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44903-9718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598244642 | Tina Louise Heindel | Counselor | 1150 N Main St, Mansfield, OH 44903-9718 | 2018-08-09 |
| 1831693712 | Nicholas William Reichert | Social Worker | 1150 N Main St, Mansfield, OH 44903-9718 | 2018-03-23 |
| 1255876371 | Harout Michael Tabrizi | Counselor | 1150 N Main St, Mansfield, OH 44903-9718 | 2016-12-28 |
| 1588033260 | Lauren Garwood | Counselor | 1150 N Main St, Mansfield, OH 44903-9718 | 2015-09-23 |
| 1194139980 | Bradley G. Wise | Counselor | 1150 N Main St, Mansfield, OH 44903-9718 | 2014-06-19 |
| 1437491537 | Ronald Jakob Baumann | Dentist | 1150 N Main St, Mansfield, OH 44903-9718 | 2013-03-27 |
| 1184978470 | Julio Cesar Airaldi | Internal Medicine | 1150 N Main St, Mansfield, OH 44903-9718 | 2012-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710495304 | Meredith Remy | Specialist/Technologist | 864 St. Rt. 314 S, Mansfield, OH 44903 | 2018-01-17 |
| 1639695174 | Judd Mateo | Home Health Aide | 1027 Neil Circle N., Mansfield, OH 44903 | 2017-08-16 |
| 1942722517 | Leighana Nichole Smith | Licensed Practical Nurse | 1451 Lucas Rd., Mansfield, OH 44903 | 2017-07-14 |
| 1528481710 | Sarah Elizabeth Hoffman | Occupational Therapy Assistant | 1600 Crider Rd., Mansfield, OH 44903 | 2014-01-24 |
| 1881025195 | Erica Renee Hanley | Occupational Therapy Assistant | 1600 Crider Road, Mansfield, OH 44903 | 2013-12-12 |
| 1164768917 | Colette Elaine Germann | Licensed Practical Nurse | 695 Satinwood N Cr, Mansfield, OH 44903 | 2012-12-26 |
| 1386996577 | Nicky Lynn Cole | Home Health Aide | 135 Columbia Avenue, Mansfield, OH 44903 | 2012-10-11 |
| 1215217989 | Darein Lee Wilson | Nurse's Aide | 175 Colonial Drive, Mansfield, OH 44903 | 2011-08-25 |
| 1205070802 | Simone Nannette Robinson | Licensed Practical Nurse | 576 Garfield Place, Mansfield, OH 44903 | 2009-04-27 |
| 1659518991 | Amelia Faye Johnson Grund | Nurse Practitioner | 336 Glessner Ave, Mob 2nd Fl, Mansfield, OH 44903 | 2009-01-08 |
| Find all providers in zip 44903 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033523915 | Wade Brill | Psychologist | 1001 Olivesburg Rd, Mansfield, OH 44905-1228 | 2014-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048649 | Diane K. Feibel | Psychologist | 7571 Blue Fox Run, West Chester, OH 45069-6336 | 2020-09-21 |
| 1417452293 | Naaleh Cleveland | Psychologist | 23980 Chagrin Blvd Ste 203, Beachwood, OH 44122-5542 | 2018-03-26 |
| 1770033136 | Village Preparatory School IIi | Psychologist | 2220 W. 93rd St., Cleveland, OH 44102 | 2016-10-10 |
| 1073062337 | Citizens Academy IIi | Psychologist | 17900 Harvard Ave, Cleveland, OH 44128-1736 | 2016-09-28 |
| 1922459023 | Senior Wellness Solutions, Inc | Psychologist | 16760 Lucky Bell Ln, Chagrin Falls, OH 44023-5161 | 2016-06-29 |
| 1710395264 | Lakeshore Intergenerational School | Psychologist | 18025 Marcella Rd, Cleveland, OH 44119 | 2014-07-29 |
| 1750706677 | Jonah Lakin | Psychologist | 19220 Lorain Rd Ste 203, Fairview Park, OH 44126-1976 | 2014-02-28 |
| 1144661224 | Village Preparatory Woodland Hills | Psychologist | 9201 Crane Ave, Cleveland, OH 44105-1627 | 2013-07-17 |
| 1972944031 | Citizens Leadership Academy | Psychologist | 9711 Lamont Ave, Cleveland, OH 44106-4124 | 2013-07-17 |
| 1235570300 | Near West Intergenerational School | Psychologist | 3805 Terrett Ave, Cleveland, OH 44113-2847 | 2013-07-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.