KIMBERLY STARK, PSYD, LLC (NPI# 1972817104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972817104 |
Entity Type | Organization |
Organization Name | KIMBERLY STARK, PSYD, LLC |
Practice Address |
1339 1/2 Mount Vernon Ave Marion OH 43302-5626 |
Practice Telephone | 7407517860 |
Mailing Telephone | 7407517860 |
Enumeration Date | 2010-07-29 |
Last Update Date | 2010-07-29 |
Authorized Official Name | DR. KIMBERLY ANN STARK-DICKASON (PSYCHOLOGIST) |
Authorized Official Telephone | 7407517860 |
Authorized Official Credential | PSYD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
6546 | OH | Behavioral Health & Social Service Providers |
Street Address |
1339 1/2 MOUNT VERNON AVE |
City | MARION |
State | OH |
Zip Code | 43302-5626 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467094284 | Nichole Mattix | Case Management | 1199 Delaware Avenue, Marion, OH 43302 | 2019-10-14 |
1770138208 | Peyton Feeney | Nurse Practitioner | 1065 Delaware Ave. Ste. A, Marion, OH 43302 | 2019-08-01 |
1609350891 | Progressive Living, Inc | Home Health | 3523 Pleasant Hill R.d., Marion, OH 43302 | 2018-09-24 |
1962989400 | Adena Pennington | Community Health Worker | 320 Executive Drive, Marion, OH 43302 | 2018-07-27 |
1407372030 | Kelli Ann Love | Licensed Practical Nurse | 559 Uncapher Ave, Marion, OH 43302 | 2017-08-15 |
1063947513 | Netcare Usa LLC | In Home Supportive Care | 1275 Lake Blvd, 6, Marion, OH 43302 | 2017-04-21 |
1003350448 | Ethan Thomas Craig | Social Worker | 1199 Delaware Ave Ste 107, 195 N Grant Ave, Columbus, Oh 43215, Marion, OH 43302 | 2016-12-04 |
1326590043 | Occupational Health Centers of Ohio, Pa, Co | Clinic/Center | 1300 Marion Agosta Road, Marion, OH 43302 | 2016-10-28 |
1295115459 | Bradley Neil Casto | Hearing Instrument Specialist | 864 East Center St, Marion, OH 43302 | 2015-06-03 |
1881003630 | Billie Roach | Home Health Aide | 182 Barkswood Rd., Marion, OH 43302 | 2014-08-06 |
Find all providers in zip 43302 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295398683 | Clayton Houston Allred | Psychologist | 2150 W Central Ave # Level2, Toledo, OH 43606-3834 | 2019-04-21 |
1790255669 | Cooper Jordan Roubic | Psychologist | 10802 Forest St Apt 22, Garrettsville, OH 44231-1077 | 2018-12-04 |
1063950269 | Kenna R Mycek | Psychologist | 27101 E Oviatt Rd, #2, Bay Village, OH 44140-3307 | 2017-02-08 |
1063885853 | Sevenp Health Care Services, Inc. | Psychologist | 733 W Market St Ste B5a, Akron, OH 44303-1009 | 2015-11-03 |
1568852390 | Cleveland Arts & Social Sciences Academy | Psychologist | 10701 Shaker Blvd, Cleveland, OH 44104 | 2015-02-02 |
1588099311 | Alana Delores Lopez | Psychologist | 1611 S Green Rd Ste 35, South Euclid, OH 44121-4128 | 2013-09-11 |
1225471238 | Megan Elizabeth Narad | Psychologist | 3333 Burnet Ave Ml 3015, Cincinnati, OH 45229 | 2013-04-09 |
1407105596 | Rebecca Wasserman Lieb | Psychologist | 215 W. Bowery Street, Consodine Professional Building, Akron, OH 44308 | 2012-09-05 |
1720398027 | Center for Behavioral Medicine Inc | Psychologist | 19111 Detroit Rd Ste 103, Rocky River, OH 44116-1740 | 2010-10-20 |
1720305915 | Tara N Tozzi | Psychologist | 56 Milford Dr Ste 308, Hudson, OH 44236-2767 | 2010-04-27 |
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.