Starfish, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

STARFISH, LLC

Practice address

4301 W 57TH St Ste 100
Sioux Falls, SD 57108-2255

Phone

(605) 335-1516

NPI assigned

Oct 12, 2023

Last updated

Oct 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amanda A Vander Lugt, PHD

Title

Owner

Phone

(414) 491-9530

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Practitioners 1

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.

• Amanda C Adcock, PH.D.

  • Clinical Psychologist
  • Augusta, ME
  • NPI 1740521855

  SD

  Medicare reassignment NPD

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1871374116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W STERLING OAK CIR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571084101",
            "telephone_number": "414-491-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W 57TH ST STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082255",
            "telephone_number": "605-335-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARFISH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "VANDER LUGT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-491-9530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyson C Stanke
• Nicholas Stanke
• Matthew B Stanley, D.O.
• Erin Stansbury
• Christopher M Stanton, M.D.
• Lisa M Stark, RD
• David Charles Starks, MD
• Rachel Diaz Starks, M.D., PH.D.
• Starlight ABA SD LLC
• Lena Starovoytov, BSN, RN

• Community/Behavioral Health Agency in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Community/Behavioral Health Agency in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.