Active NPI
Stark Recovery Associates
- Clinic/Center
- Canton, OH
National Provider Identifier
1194396689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- STARK RECOVERY ASSOCIATES
- Practice address
- 3801 Whipple Ave NW Ste 1
Canton, OH 44718-4802 - Phone
- (216) 413-0413
- NPI assigned
- Jul 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carla Hart-Tyner, NP-C
- Title
- Owner/Nurse Practitioner
- Phone
- (216) 413-0413
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
3801 Whipple Ave NW Ste 1
Canton, OH 44718-4802
Mailing address
3801 Whipple Ave NW Ste 1
Canton, OH 44718-4802
Phone (216) 413-0413
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | mail@starkrecoveryassociates.com |
National Provider Directory
National Provider Directory- Tax ID family
- Stark Recovery Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Canton, OH
- NPI 1912641481
Locations
3801 Whipple Ave NW
Ste 1
Canton, OH 44718
Phone (216) 413-0413
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Canton, OH
- NPI 1134476088
-
- Addiction (Substance Use Disorder) Counselor
- Canton, OH
- NPI 1942962220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625529600000",
"number": "1194396689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 WHIPPLE AVE NW STE 1",
"city": "CANTON",
"state": "OH",
"postal_code": "447184802",
"telephone_number": "216-413-0413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 WHIPPLE AVE NW STE 1",
"city": "CANTON",
"state": "OH",
"postal_code": "447184802",
"telephone_number": "216-413-0413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STARK RECOVERY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-06",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A",
"authorized_official_last_name": "HART-TYNER",
"authorized_official_first_name": "CARLA",
"authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
"authorized_official_telephone_number": "216-413-0413",
"authorized_official_credential": "NP-C"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "mail@starkrecoveryassociates.com",
"affiliation": "N",
"address_1": "3801 Whipple Ave NW Ste 1",
"city": "Canton",
"state": "OH",
"country_code": "US",
"postal_code": "447184802",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.