DR. KIMBERLY ANN STARK-DICKASON (NPI# 1770718629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770718629 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY ANN STARK-DICKASON |
| Other Name | KIMBERLY ANN STARK |
| Credential | PSYD |
| Practice Address |
75 Clairedan Dr Powell OH 43065-8064 |
| Practice Telephone | 6143965665 |
| Practice Fax Number | 6143965670 |
| Mailing Telephone | 6143965665 |
| Mailing Fax Number | 6143965670 |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2009-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
6546 | OH | Behavioral Health & Social Service Providers |
| Street Address |
75 CLAIREDAN DR |
| City | POWELL |
| State | OH |
| Zip Code | 43065-8064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619165826 | Kaja Paulos | Marriage & Family Therapist | 75 Clairedan Dr, Powell, OH 43065-8064 | 2007-10-12 |
| 1760932511 | Steven Miller | Counselor | 75 Clairedan Dr, Powell, OH 43065-8064 | 2016-10-05 |
| 1730589151 | Karen Hessler | Licensed Practical Nurse | 75 Clairedan Dr, Powell, OH 43065-8064 | 2014-09-04 |
| 1477879559 | Ellen E. Seward | Social Worker | 75 Clairedan Dr, Powell, OH 43065-8064 | 2010-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629587126 | Orleans Psychological Services | Counselor | 35 W Olentangy Street, Powell, OH 43065 | 2017-09-27 |
| 1972968915 | Lindsey Dalton | Pharmacist | 10560 Sawmill Pkwy, Powell, OH 43065 | 2015-12-17 |
| 1982073334 | Eden Counseling Center LLC | Case Management | 8794 Big Bear Ave, Powell, OH 43065 | 2015-09-16 |
| 1073993226 | Anthony Bartko | Student in an Organized Health Care Education/Training Program | 8667 Wilmette Ct, Powell, OH 43065 | 2015-06-03 |
| 1376935858 | Lo-shen Chen | Dentist | 8688 Shillington Dr, Powell, OH 43065 | 2015-02-20 |
| 1679964860 | Anna Redmond | Pharmacy Technician | 10560 Sawmill Parkway, Powell, OH 43065 | 2015-02-10 |
| 1154721264 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 10560 Sawmill Rd, Powell, OH 43065 | 2014-08-26 |
| 1023427234 | Abbington Powell Partners Limited Partnership | Assisted Living Facility | 3971 Bradford Ct, Powell, OH 43065 | 2014-08-13 |
| 1720491186 | Lisa Jo Kedo | Speech-Language Pathologist | 8715 Big Bear Avenue, Scioto Ridge Elementary School, Powell, OH 43065 | 2014-06-03 |
| 1750664512 | Jyoti Navalurkar | Pharmacist | 9410 Cadogan Court, Powell, OH 43065 | 2011-09-27 |
| Find all providers in zip 43065 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750478376 | Gibson Buckley Condie | Psychologist | 1054 Vali Road, Powell, WY 82435 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295398683 | Clayton Houston Allred | Psychologist | 2150 W Central Ave # Level2, Toledo, OH 43606-3834 | 2019-04-21 |
| 1790255669 | Cooper Jordan Roubic | Psychologist | 10802 Forest St Apt 22, Garrettsville, OH 44231-1077 | 2018-12-04 |
| 1063950269 | Kenna R Mycek | Psychologist | 27101 E Oviatt Rd, #2, Bay Village, OH 44140-3307 | 2017-02-08 |
| 1063885853 | Sevenp Health Care Services, Inc. | Psychologist | 733 W Market St Ste B5a, Akron, OH 44303-1009 | 2015-11-03 |
| 1568852390 | Cleveland Arts & Social Sciences Academy | Psychologist | 10701 Shaker Blvd, Cleveland, OH 44104 | 2015-02-02 |
| 1588099311 | Alana Delores Lopez | Psychologist | 1611 S Green Rd Ste 35, South Euclid, OH 44121-4128 | 2013-09-11 |
| 1225471238 | Megan Elizabeth Narad | Psychologist | 3333 Burnet Ave Ml 3015, Cincinnati, OH 45229 | 2013-04-09 |
| 1407105596 | Rebecca Wasserman Lieb | Psychologist | 215 W. Bowery Street, Consodine Professional Building, Akron, OH 44308 | 2012-09-05 |
| 1720398027 | Center for Behavioral Medicine Inc | Psychologist | 19111 Detroit Rd Ste 103, Rocky River, OH 44116-1740 | 2010-10-20 |
| 1972817104 | Kimberly Stark, Psyd, LLC | Psychologist | 1339 1/2 Mount Vernon Ave, Marion, OH 43302-5626 | 2010-07-29 |
| Find all providers with the same taxonomy | ||||
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| 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.