Gail Ann Starks, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301003908 Issued in MI

Practice address

200 Diversion Street
Suite 10a
Rochester Hills, MI 48307-2273

Phone

(248) 608-9740

Fax

(248) 608-9752

NPI assigned

Nov 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gail a. Starks PLLC

  • Clinical Psychologist
  • Berkley, MI
  • NPI 1730633058
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1609948108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20300 CIVIC CENTER DRIVE",
            "address_2": "SUITE 303",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764169",
            "telephone_number": "248-559-8190",
            "fax_number": "248-559-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DIVERSION STREET",
            "address_2": "SUITE 10A",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072273",
            "telephone_number": "248-608-9740",
            "fax_number": "248-608-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKS",
        "first_name": "GAIL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301003908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan K. Stackpoole, LMSW, CSW, BCD
• Stamatin Internal Medicine PC
• Rica Cezario Stamatin, MD
• Amy Stark, FNP-BC
• Catherine M Stark, MD
• Stat Physician PC
• Angelique Marie Stathakios
• John Joseph Steele III, MD, PHD
• Kailey Marie Steele, PT, DPT
• Gerald Edward Stefan, DDS

• Psychologist in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.