KEVIN DOUGLAS STARK PH.D.
NPI 1447404918
Psychologist - Clinical Child & Adolescent in Austin, TX

NPI Status: Active since November 11, 2008

Contact Information

1600 W 38TH ST STE 212
AUSTIN, TX
ZIP 78731
Phone: (512) 324-3315
Fax: (512) 324-3314

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  • Individual
  • Male
  • Psychologist
  • Clinical Child & Adolescent

About KEVIN STARK

This page provides the complete NPI Profile along with additional information for Kevin Stark, a provider established in Austin, Texas with a medical specialization in Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1447404918 assigned on November 2008. The practitioner's primary taxonomy code is 103TC2200X with license number 2-3732 (TX). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1447404918
Provider Name
KEVIN DOUGLAS STARK PH.D.
Gender
Male
Entity Type
Individual
Location Address
1600 W 38TH ST STE 212 AUSTIN, TX 78731
Location Phone
(512) 324-3315
Location Fax
(512) 324-3314
Mailing Address
1600 W 38TH ST STE 212 AUSTIN, TX 78731
Mailing Phone
(512) 324-3315
Mailing Fax
(512) 324-3314
Is Sole Proprietor?
Yes
Enumeration Date
11-11-2008
Last Update Date
12-02-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical Child & Adolescent

Taxonomy Code
103TC2200X
Type
Behavioral Health & Social Service Providers
License No.
2-3732
License State
TX
Taxonomy Description
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TB0200XBehavioral Health & Social Service Providers

Psychologist
Cognitive & Behavioral

2-3732 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
317951YKYMMEDICARE PIN (08)TX 
317951YRLZMEDICARE PIN (08)TX 
328753401MEDICAID (05)TX 
328753402MEDICAID (05)TX 
328753403MEDICAID (05)TX 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1447404918
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
248780892
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 8 + 0 + 8 + 9 + 2 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1447404918 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1821252685MRS. LYNN MONNAT PH.D.
Individual
Psychologist (Clinical Child & Adolescent)1600 W 38TH ST STE 212
AUSTIN, TX 78731
(512) 324-3315
1225313851 PUJA GANDHI PATEL PHD
Individual
Psychologist1600 W 38TH ST STE 212
AUSTIN, TX 78731
(512) 354-3315
1548513195TEXAS CHILD STUDY CENTER
Organization
Psychologist (Clinical Child & Adolescent)1600 W 38TH ST STE 212
AUSTIN, TX 78731
(512) 324-3315
1003242710 DAVID ROBERT HECKLER PH.D.
Individual
Psychologist1600 W 38TH ST STE 212
AUSTIN, TX 78731
(512) 324-3315
1407108814DR. JANIE E BLACK PHD
Individual
Psychologist (Clinical Child & Adolescent)1600 W 38TH ST STE 212
AUSTIN, TX 78731
(512) 324-3315
1750717468 CATHERINE FUNK PH.D.
Individual
Psychologist (Clinical Child & Adolescent)1600 W 38TH ST STE 212
AUSTIN, TX 78731
(512) 324-3315
1174065247DR. ALEXANDRA LAMARI-FISHER PH.D.
Individual
Psychologist (Clinical Child & Adolescent)1600 W 38TH ST STE 212
AUSTIN, TX 78731
(512) 324-3315
1477964526DR. JULIE ELLIS TOLLEMACHE D.O.
Individual
Psychiatry & Neurology (Psychiatry)1600 W 38TH ST STE 212
AUSTIN, TX 78731
(512) 324-3315

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447404918, enumerated in the NPI registry as an "individual" on November 11, 2008

The provider is located at 1600 W 38th St Ste 212 Austin, Tx 78731 and the phone number is (512) 324-3315

The provider's speciality is Psychologist with taxonomy code 103TC2200X with a focus in Clinical Child & Adolescent

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 11, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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