Globe Star, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

GLOBE STAR, LLC

Practice address

935 S Ironwood Dr
South Bend, IN 46615-1613

Phone

(219) 921-5492

Fax

(219) 921-0143

NPI assigned

Feb 21, 2017

Last updated

Feb 21, 2017By 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. Anthony M McCrovitz, PHDNPI 1740587559

Title

Executive Director

Phone

(219) 921-5492

Specialties & licenses 1

Addresses

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

  • Intellectual & Developmental Disabilities Psychologist
  • Chesterton, IN
  • NPI 1912922550
  NPD tax ID

Locations

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.

• Anthony M. McCrovitz, PH.D.

  • Psychologist
  • Chesterton, IN
  • NPI 1740587559
  Authorized official Same address or phone

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1952840183",
    "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": "935 S IRONWOOD DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466151613",
            "telephone_number": "219-921-5492",
            "fax_number": "219-921-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBE STAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "MCCROVITZ",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "219-921-5492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph G Glazier, MD
• Naja Glenn, RBT
• Jason R Glidden, BA
• Benjamin Glines I, DO
• Global Center for Systemic Change Outcomes Research Evaluation & Dev
• Dana Glover, MA, LMFT
• Tiffany Glover
• John Charles Glueckert, DDS
• Audrey S Goddard, LMHC
• Braya Angel Godette

• Occupational Therapist in South Bend, IN
• Providers in South Bend, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.