Starfish Center, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6801087602 Issued in MI

Legal business name

STARFISH CENTER, INC

Practice address

38 S Ridge St # 306
Port Sanilac, MI 48469-9789

Phone

(810) 622-0630

Fax

(810) 622-0631

NPI assigned

Jul 15, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kathleen Marie Gutowski, PSY.D LMSW CCS CAAC

Title

Clincial Psycholgist/Ceo

Phone

(810) 622-0630

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1265745590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 S RIDGE ST # 306",
            "city": "PORT SANILAC",
            "state": "MI",
            "postal_code": "484699789",
            "telephone_number": "810-622-0630",
            "fax_number": "810-622-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 S RIDGE ST # 306",
            "city": "PORT SANILAC",
            "state": "MI",
            "postal_code": "484699789",
            "telephone_number": "810-622-0630",
            "fax_number": "810-622-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARFISH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "GUTOWSKI",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINCIAL PSYCHOLGIST/CEO",
        "authorized_official_telephone_number": "810-622-0630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D LMSW CCS CAAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801087602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Marie Schulman, LMSW
• Mary Anne Simmons
• Thomas Alan Simmons, DDS
• Victoria Simon, MA, LMSW
• Sarah May Smith
• Thomas a Simmons DDS Mary Anne Simmons DDS, PC (Port Sanilac Dental Care)

• Community/Behavioral Health Agency in Port Sanilac, MI
• Providers in Port Sanilac, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.