DR. JAMES EDWIN STARK (NPI# 1356492037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356492037 |
| Entity Type | Individual |
| Full Name | DR. JAMES EDWIN STARK |
| Credential | PH.D. |
| Practice Address |
1755 The Exchange Se Suite 375 Atlanta GA 30339-7400 |
| Practice Telephone | 7705419988 |
| Practice Fax Number | 7705419977 |
| Mailing Telephone | 7705419988 |
| Mailing Fax Number | 7705419977 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2009-01-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
298 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000041544A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487063038 | James Allen Stark | Massage Therapist | 339 E Beau St, Washington, PA 15301-3639 | 2014-08-07 |
| 1750318358 | James E. Stark | Specialist/Technologist | 101 N College Ave, Annville, PA 17003-1404 | 2006-06-27 |
| 1003864372 | James J Stark | Internal Medicine | 5835 Harbour View Blvd, Suite C, Suffolk, VA 23435-2657 | 2006-05-05 |
| 1568895878 | James Corey Stark | Pharmacist | 204 Park Ave, Rite Aid Pharmacy, Carrollton, KY 41008-9513 | 2013-08-11 |
| 1760658264 | James William Stark | Psychiatry & Neurology | 521 W 57th St Fl 4, New York, NY 10019-2929 | 2008-05-05 |
| 1235342247 | James B Stark | Physical Medicine & Rehabilitation | 909 Hyde St, Suite 432, San Francisco, CA 94109-4822 | 2007-05-07 |
| 1174692487 | James Stark | Physician Assistant | 5939 Harry Hines Blvd, Suite 731, Dallas, TX 75235-6246 | 2006-11-08 |
| 1033295159 | James Stark | Social Worker | 231 Washington Blvd, Holland, MI 49423-3126 | 2006-10-31 |
| 1487671905 | James M. Stark | Pediatrics | 6431 Fannin St, Msb 3.228, Houston, TX 77030-1501 | 2006-07-17 |
| 1457379612 | James E Stark | Radiology | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2006-07-17 |
| Street Address |
1755 THE EXCHANGE SE SUITE 375 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30339-7400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457328 | Tewann Tepper Lpc | Clinic/Center | 1755 The Exchange Se, Atlanta, GA 30339-7400 | 2020-11-06 |
| 1467068890 | Tewann Tepper Lpc | Clinic/Center | 1755 The Exchange Se, Atlanta, GA 30339-7400 | 2020-09-21 |
| 1316476658 | Gbadebo Samuel Akinlua | Durable Medical Equipment & Medical Supplies | 1755 The Exchange Se, Atlanta, GA 30339-7400 | 2017-06-09 |
| 1699218982 | Tewann Frank Tepper | Counselor | 1755 The Exchange Se, Atlanta, GA 30339-7400 | 2016-11-18 |
| 1467906016 | World Class Medical Services LLC | Ambulance | 1755 The Exchange Se, Suite 190, Atlanta, GA 30339-7400 | 2016-08-12 |
| 1811441587 | Robert Tucker | Ambulance | 1755 The Exchange Se, Suite 190, Atlanta, GA 30339-7400 | 2016-08-10 |
| 1083098065 | Cerita Willie | Specialist | 1755 The Exchange Se, Suite 330m, Atlanta, GA 30339-7400 | 2015-07-20 |
| 1255726568 | Expert In Mind | Behavioral Analyst | 1755 The Exchange Se, Atlanta, GA 30339-7400 | 2015-04-02 |
| 1770927576 | Allegiance Community Care, LLC | Community/Behavioral Health | 1755 The Exchange Se, Suite 330-m, Atlanta, GA 30339-7400 | 2013-04-23 |
| 1871833434 | Demario Phillips | Counselor | 1755 The Exchange Se, Suite 138, Atlanta, GA 30339-7400 | 2013-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303426 | Cheryl E Williams | Counselor | 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 | 2020-07-20 |
| 1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
| 1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
| 1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
| 1013499821 | Deonna Pennamon | Specialist/Technologist | 5625 Suffex Green Lane, Atlanta, GA 30339 | 2018-08-29 |
| 1205326915 | Matthew Buyert | Counselor | 1827 Powers Ferry Rd Se Ste 22, Atlanta, GA 30339 | 2018-05-17 |
| 1760991632 | Horizons Unlimited Professional Services Inc. | Community/Behavioral Health | 1755 The Exchange Se Ste 190, Atlanta, GA 30339 | 2017-09-23 |
| 1932624418 | Kheder Basheer | Student in an Organized Health Care Education/Training Program | 3224 Post Woods Dr., Apt E, Atlanta, GA 30339 | 2017-08-07 |
| 1417486820 | Ashley Drake | Counselor | 4695 N Church Ln Se Apt 10306, Atlanta, GA 30339 | 2017-06-08 |
| 1992248298 | New Legacy Counseling and Training Center | Point of Service | 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 | 2016-11-18 |
| Find all providers in zip 30339 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639564271 | Colbi Sutton | Psychologist | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2015-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932720489 | Avs Consulting | Psychologist | 4015 S Cobb Dr Se Ste 265, Smyrna, GA 30080-6374 | 2020-05-06 |
| 1487059580 | Neurobehavioral Associates LLC | Psychologist | 639 13th St, Augusta, GA 30901-1007 | 2014-10-31 |
| 1063766467 | Rommys Alemania Beltran | Psychologist | 2662 Holcomb Bridge Rd, Suite 340, Alpharetta, GA 30022-6819 | 2012-11-07 |
| 1245476639 | Marc David Einhorn | Psychologist | 11755 Pointe Pl, Roswell, GA 30076-4656 | 2009-01-06 |
| 1922266014 | Southern Psychological Services | Psychologist | 1213 E Jackson St, Thomasville, GA 31792-4748 | 2008-05-27 |
| 1609943240 | Kelly Leanne Farris | Psychologist | 3000 Schatulga Rd, Bldg. 5, Columbus, GA 31907-3117 | 2006-11-29 |
| 1629039813 | Dennis L Herendeen | Psychologist | 6130 Prestley Mill Rd, Suite A, Douglasville, GA 30134-2288 | 2006-03-29 |
Please comment or provide details below to improve the information on DR. JAMES EDWIN STARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.