Active NPI
James E. Stark, PH.D., P.C.
- Community/Behavioral Health Agency
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- PSY298
- Legal business name
- JAMES E. STARK, PH.D., P.C.
- Practice address
- 1755 The Exchange SE
Suite 375
Atlanta, GA 30339-7400 - Phone
- (770) 541-9988
- Fax
- (770) 541-9977
- NPI assigned
- Nov 20, 2008
- Last updated
- Nov 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Edwin Stark, PH.D.
- Title
- President
- Phone
- (770) 541-9988
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | PSY298 | GA | Primary |
Addresses
Primary practice location
1755 The Exchange SE
Suite 375
Atlanta, GA 30339-7400
Mailing address
1755 The Exchange SE
Suite 375
Atlanta, GA 30339-7400
Phone (770) 541-9988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000041544A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
1755 The Exchange SE
Ste 375
Atlanta, GA 30339
Phone (404) 594-1770
1945 The Exchange SE
Ste 435
Atlanta, GA 30339
Phone (678) 516-1307
314 S Hamilton St
Dalton, GA 30720
Phone (678) 516-1307
64 Sailors Dr
Ste 114
Ellijay, GA 30540
Phone (706) 635-8815
2470 Windy Hill Rd SE
Ste 362
Marietta, GA 30067
Phone (404) 418-8163
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Forensic Psychologist
- Atlanta, GA
- NPI 1356492037
-
- Professional Counselor
- Ellijay, GA
- NPI 1750503942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227139200000",
"number": "1720233562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1755 THE EXCHANGE SE",
"address_2": "SUITE 375",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303397400",
"telephone_number": "770-541-9988",
"fax_number": "770-541-9977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 THE EXCHANGE SE",
"address_2": "SUITE 375",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303397400",
"telephone_number": "770-541-9988",
"fax_number": "770-541-9977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES E. STARK, PH.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-20",
"last_updated": "2008-11-20",
"status": "A",
"authorized_official_last_name": "STARK",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "EDWIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-541-9988",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "GA",
"license": "PSY298",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000041544A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.