Kimberly Stark, PSYD, LLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

6546 Issued in OH

Legal business name

KIMBERLY STARK, PSYD, LLC

Practice address

1339 1/2 Mount Vernon Ave
Marion, OH 43302-5626

Phone

(740) 751-7860

NPI assigned

Jul 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Ann Stark-Dickason, PSYD

Title

Psychologist

Phone

(740) 751-7860

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Ann Stark-Schilling, PSYD

  • Clinical Child & Adolescent Psychologist
  • Upper Sandusky, OH
  • NPI 1770718629
  NPD

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1972817104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 1/2 MOUNT VERNON AVE",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433025626",
            "telephone_number": "740-751-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 1/2 MOUNT VERNON AVE",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433025626",
            "telephone_number": "740-751-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY STARK, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "STARK-DICKASON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "740-751-7860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OH",
            "license": "6546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Shaun Kibler
• John Kibler, QMHS
• Megan Kibler, MSW, LISW-S
• Zachary Kibler
• Kiddo Smiles Dental
• Marquetta Lynn Kimbrough, L.P.N
• Kindred Nursing Centers East LLC (Community Healthcare Center)
• Kindred Nursing Centers East, L.L.C.
• Carrie Kindred, L.P.N.
• Danielle M Kinney, CNP

• Clinical Child & Adolescent Psychologist in Marion, OH
• Providers in Marion, OH by specialty
• Clinical Child & Adolescent Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.