Active NPI
Charles Starkman, PSYD, LP
- Clinical Psychologist
- Farmington Hills, MI
National Provider Identifier
1891158978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301017802
- Practice address
- 32961 Middlebelt Rd
Farmington Hills, MI 48334-1773 - Phone
- (248) 855-1540
- NPI assigned
- Apr 5, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301017611 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | 6301017802 | MI | Primary |
Addresses
Primary practice location
32961 Middlebelt Rd
Farmington Hills, MI 48334-1773
Mailing address
6549 Town Center Dr Ste a
Clarkston, MI 48346-4824
Phone (248) 620-6400
Other practice location 1
640 W Sheridan Rd
Apt. 311
Chicago, IL 60613-3320
Phone (248) 914-7312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301017611 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mybody, PLLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Birmingham, MI
- NPI 1447706213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551398400000",
"number": "1891158978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6549 TOWN CENTER DR STE A",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483464824",
"telephone_number": "248-620-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32961 MIDDLEBELT RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483341773",
"telephone_number": "248-855-1540"
}
],
"practiceLocations": [
{
"address_1": "640 W Sheridan Rd",
"address_2": "Apt. 311",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606133320",
"country_code": "US",
"telephone_number": "248-914-7312",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STARKMAN",
"first_name": "CHARLES",
"credential": "PSYD, LP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-05",
"last_updated": "2019-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301017611",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301017802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.