The Starlight Center, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6186 Issued in FL

Legal business name

THE STARLIGHT CENTER, INC.

Practice address

111 W Center Ave Ste 3
Sebring, FL 33870-3104

Phone

(863) 402-9182

Fax

(863) 402-9183

NPI assigned

Jan 8, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Tia Aileen Kern-Butler, PSY.D.

Title

Owner/President

Phone

(863) 402-9182

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1619114972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W CENTER AVE STE 3",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338703104",
            "telephone_number": "863-402-9182",
            "fax_number": "863-402-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W CENTER AVE STE 3",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338703104",
            "telephone_number": "863-402-9182",
            "fax_number": "863-402-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE STARLIGHT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "KERN-BUTLER",
        "authorized_official_first_name": "TIA",
        "authorized_official_middle_name": "AILEEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "863-402-9182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.