JODY CONRADI STARK


Address: 15366 Glastonbury Ave, Detroit, MI 48223-2211
Phone: 3132737762

JODY CONRADI STARK (NPI# 1992070932) 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) 1992070932
Entity Type Individual
Full Name JODY CONRADI STARK
Credential MT-BC
Practice Address 15366 Glastonbury Ave
Detroit
MI 48223-2211
Practice Telephone 3132737762
Practice Fax Number 3132730152
Mailing Telephone 3132737762
Mailing Fax Number 3132730152
Enumeration Date 2012-03-08
Last Update Date 2012-03-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225A00000X Music Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers JODY STARK

NPI Name Taxonomy Address Enumeration
1851472989 Jody A. Stark Nurse Practitioner 932 W Idaho Ave, Suite 100, Ontario, OR 97914-2155 2006-10-17

Office Location

Street Address 15366 GLASTONBURY AVE
City DETROIT
State MI
Zip Code 48223-2211

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972742997 Creative Arts Therapies, Inc. Community/Behavioral Health 15366 Glastonbury Ave, Detroit, MI 48223-2211 2009-02-14
1063787000 Laurie Herman Music Therapist 15366 Glastonbury Ave, Detroit, MI 48223-2211 2012-03-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366946659 From Heavens Joy Assisted Care Support Services LLC Social Worker 14179 Evergreen Rd, Detroit, MI 48223 2018-03-21
1164921144 Kyara Mccraney Licensed Practical Nurse 12725 Riverview St, Detroit, MI 48223 2018-02-06
1922516384 Cynthia Clair Reese Nursing Home Administrator 22625 Glendale, Det, MI 48223 2018-01-18
1629590609 Marie Davis Nursing Care 14049 Minock St, Detroit, MI 48223 2017-07-12
1740726488 Tanisha Smith Behavior Technician 14620 Faust Ave, Detroit, MI 48223 2017-01-18
1518418730 Tamica K Boyd Emergency Medical Technician, Basic 15890 Lamphere, Detroit, MI 48223 2016-10-24
1831596832 Walter Ector Counselor 14243 Minock, Detroit, MI 48223 2014-11-20
1336568542 Sheryl A Ali Registered Nurse 12811 Hazelton Street, Detroit, MI 48223 2014-04-15
1255667556 Abyssinia Love Knot Physical Therapy LLC Physical Medicine & Rehabilitation 15340 Southfield Freeway, Suite 1-a, Detroit, MI 48223 2009-10-22
1629243902 Glenda Faye Smith Massage Therapist 15041 Faust, Detroit, MI 48223 2008-04-28
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Taxonomy Information

Taxonomy Code 225A00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Music Therapist

Taxonomy Definition

Music therapists use music interventions to assess clients' strengths and needs, develop goals, implement services, and evaluate and document progress for individuals of all ages. Music therapists facilitate changes in physical, cognitive, emotional, and/or psychosocial health.
Notes: Source: American Music Therapy Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255830154 Anarosa Delarosa Music Therapist 3408 Woodward Ave, Detroit, MI 48201-2726 2018-02-06
1063787000 Laurie Herman Music Therapist 15366 Glastonbury Ave, Detroit, MI 48223-2211 2012-03-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508477506 Maurizio Emanuele Music Therapist 836 N Union City Rd, Coldwater, MI 49036-9228 2020-08-12
1912529884 Hannah Kristyne Avery Music Therapist 1648 Midland Dr, Hickory Corners, MI 49060-9342 2020-05-13
1457980575 Renee Victoria Wolosion Music Therapist 480 E Woodland St, Ferndale, MI 48220-1339 2020-04-02
1508406208 Kimberly N Debusschere Music Therapist 4334 Dottie Ct., Belleville, MI 48111 2020-01-10
1194362459 Karina Gluys Music Therapist 251 N Rose St Ste 200, Kalamazoo, MI 49007-3860 2019-12-05
1821550054 Corinn Cramer Music Therapist 3500 W 11 Mile Rd Ste C, Berkley, MI 48072-1225 2019-04-05
1568951630 Jonathan James Carmona Music Therapist 9820 Green Gables, Willis, MI 48191-9691 2018-05-04
1639666084 Kristen Nichole Kimball Music Therapist 3054 Yorkshire Dr, Bay City, MI 48706-9244 2018-04-20
1003320300 Bradley Robert Hatfield Music Therapist 2319 Walter Dr, Ann Arbor, MI 48103-3452 2017-11-22
1558802124 John Michael Hoffman Music Therapist 805 Beard St, Apt. 2, Port Huron, MI 48060-6586 2017-03-16
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Competitor

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City DETROIT
Zip Code 48223

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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