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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225A00000X | Music Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851472989 | Jody A. Stark | Nurse Practitioner | 932 W Idaho Ave, Suite 100, Ontario, OR 97914-2155 | 2006-10-17 |
Street Address |
15366 GLASTONBURY AVE |
City | DETROIT |
State | MI |
Zip Code | 48223-2211 |
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 |
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 |
Find all providers in zip 48223 |
Taxonomy Code | 225A00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Music Therapist |
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 |
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 |
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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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.