Globe Star, LLC

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

100110700 Issued in IN

Legal business name

GLOBE STAR, LLC

Practice address

621 Broadway
Chesterton, IN 46304-2259

Phone

(219) 921-5492

Fax

(219) 921-0143

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Michael McCrovitz

Title

Executive Director

Phone

(219) 921-5492

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Globe Star LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Globe Star, LLC

  • Occupational Therapist
  • South Bend, IN
  • NPI 1952840183
  NPD tax ID

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1912922550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 BROADWAY",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463042259",
            "telephone_number": "219-921-5492",
            "fax_number": "219-921-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 BROADWAY",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463042259",
            "telephone_number": "219-921-5492",
            "fax_number": "219-921-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBE STAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "MCCROVITZ",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "219-921-5492",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "IN",
            "license": "100110700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100110700",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Geise, OTR
• Beth Ann Gemeinhart, RPH
• Jill Gholson-Hearns, PTA, PES
• Easa Ghoreishi, MD
• Kassandra Glenn, RBT
• Gerald E Gonnella, P.A.
• Emily R Gray, M.A. CF-SLP
• Jennifer Gray
• Jennifer Ellen Gray, DDS
• Laura Green

• Intellectual & Developmental Disabilities Psychologist in Chesterton, IN
• Providers in Chesterton, IN by specialty
• Intellectual & Developmental Disabilities Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.

Verify at the official NPI Registry.