Kimberly Ann Stark-Schilling, PSYD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

6546 Issued in OH

Practice address

8350 County Highway 134
Upper Sandusky, OH 43351-9733

Phone

(301) 461-9024

NPI assigned

May 21, 2009

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

Other names 1

• Kimberly Ann Stark Former name

Medicare fee-for-service enrollment

Enrolled in OH

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center Street Community Clinic IncGroup PAC ID 7012815210, shared by 5 NPIs, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.stark.p1@direct.centerstreetclinic.nextgenshare.com

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.

• Kimberly Stark, PSYD, LLC

  • Clinical Child & Adolescent Psychologist
  • Marion, OH
  • NPI 1972817104
  NPD
• Mid-Ohio Counseling, LLC

  • Mental Health Counselor
  • Granville, OH
  • NPI 1700022639
  NPD
• Center Street Community Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Marion, OH
  • NPI 1780984211
  NPD (past)

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1770718629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 COUNTY HIGHWAY 134",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433519733",
            "telephone_number": "301-461-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 COUNTY HIGHWAY 134",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433519733",
            "telephone_number": "301-461-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK-SCHILLING",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-21",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OH",
            "license": "6546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "STARK",
            "middle_name": "ANN",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tina Soice
• Konstantine K Solacoff, MD
• Dianne G Solis, CNP
• Sarah Spiegel, RD, LD
• Ramona Stansberry
• Karen Stauffer, LPC
• Lauren Stechschulte
• Shiloe Steinmetz
• Eric M. Stemmer, D.O.
• Samantha Stewart, LPN

• Clinical Child & Adolescent Psychologist in Upper Sandusky, OH
• Providers in Upper Sandusky, OH by specialty
• Clinical Child & Adolescent Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.