KIMBERLY STARK, PSYD, LLC


Address: 1339 1/2 Mount Vernon Ave, Marion, OH 43302-5626
Phone: 7407517860

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
6546 OH Behavioral Health & Social Service Providers

Office Location

Street Address 1339 1/2 MOUNT VERNON AVE
City MARION
State OH
Zip Code 43302-5626

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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
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and state

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
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Competitor

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City MARION
Zip Code 43302

Improve Information

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Dataset Information

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.

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