Individual provider Active NPI

Tara Stark, PSY.D.

  • Clinical Psychologist
  • Temple, TX
National Provider Identifier
1811547599
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
39172 Issued in TX
Practice address
5122 Flint Rock LN
Temple, TX 76502-8714
Phone
(254) 262-6626
Fax
(888) 414-7884
NPI assigned
Sep 16, 2019
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY.0006305 CO
Clinical Psychologist 103TC0700X PSY-2025-0063 NM
Clinical Psychologist 103TC0700X 39172 TX Primary
Clinical Psychologist 103TC0700X PY10427 FL
Clinical Psychologist 103TC0700X 021661 NY

Addresses

Primary practice location

5122 Flint Rock LN
Temple, TX 76502-8714

Mailing address

5122 Flint Rock LN
Temple, TX 76502-8714
Phone (254) 262-6626

Other names 1

  • Tara Meisner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20211025002561 TX Practitioner - Clinical Psychologist 3274921200 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY.0006305COMDClinical Psychologist
PY10427FLMDClinical Psychologist
PSY-2025-0063NMMDClinical Psychologist
39172TXMDGeneral Practice Dentistry
021661NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stark Psychology Services PLLC Clinical CurrentSince Apr 13, 2025 Accepting new patients
Healthy Young Minds TX LLC Psychologist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1811547599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 FLINT ROCK LN",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765028714",
            "telephone_number": "254-262-6626",
            "fax_number": "888-414-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 FLINT ROCK LN",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765028714",
            "telephone_number": "254-262-6626",
            "fax_number": "888-414-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "TARA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0006305",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "PSY-2025-0063",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39172",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10427",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021661",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "MEISNER",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.