Sunstar Clinical PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SUNSTAR CLINICAL PLLC

Practice address

101 E 8TH St Ste 110
Vancouver, WA 98660-3294

Phone

(773) 936-0502

NPI assigned

Apr 12, 2022

Organization subpart

No

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

Authorized official

Name

Miss Marvelous Beckman, LCSWNPI 1477952570

Title

Owner

Phone

(773) 936-0502

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marvelous Sunstar Beckman, LCSW

  • Clinical Social Worker
  • Schaumburg, IL
  • NPI 1477952570
  NPD Authorized official

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1699417436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E 8TH ST STE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603294",
            "telephone_number": "773-936-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E 8TH ST STE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603294",
            "telephone_number": "773-936-0502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001 W Parmer Ln",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787273901",
            "country_code": "US",
            "telephone_number": "773-936-0502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNSTAR CLINICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "BECKMAN",
        "authorized_official_first_name": "MARVELOUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-936-0502",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Sundstrom, CDCES, MS, RDN, CDN
• Jeffrey Sunshine, MD
• Judy C Sunshine, RC
• Kathleen S Sunshine, MD
• Sunstar Clincal Virtual Behavioral Solutions
• Tim Micah Supin, D.M.D.
• Jessica Lynn Supinski, BA
• George Supplitt, MD
• Amy Surface, PA-C
• Haley Surface, DC

• Clinical Social Worker in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.