Organization Active NPI

Starks Mental Health

  • Community/Behavioral Health Agency
  • Indianapolis, IN
National Provider Identifier
1558077818
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STARKS MENTAL HEALTH
Doing business as
Starks Mental Health
Practice address
4926 Common Vista CT
Indianapolis, IN 46220-5394
Phone
(317) 730-0023
NPI assigned
Jan 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Phyllis Starks
Title
Psychotherapist
Phone
(317) 730-0023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4926 Common Vista CT
Indianapolis, IN 46220-5394

Mailing address

6101 N Keystone Ave Ste 100
Indianapolis, IN 46220-2499
Phone (317) 730-0023

Other names 1

  • Starks Mental Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1558077818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 N KEYSTONE AVE STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202499",
            "telephone_number": "317-730-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4926 COMMON VISTA CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462205394",
            "telephone_number": "317-730-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARKS MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "STARKS",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "317-730-0023"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Starks Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.