Kimberly Sue Stark, PH.D.
NPI 1972289270ActiveIndividual· Psychologist· Warrensburg, MO
Psychologist (PH.D.) in Warrensburg, Missouri, licensed in MO, with an NPI issued in June 2023. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1972289270 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Jun 22, 2023 |
| Last updated in NPPES | Dec 8, 2023 |
| Certified by provider | Dec 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 1999140545 | MO |
| Psychologist, Counseling | 103TC1900X | 1999140545 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MO) |
|---|
Other Psychologist providers in Warrensburg
- 1386629582
- 1124160072
- 1366473936
- 1417920455
- 1154430809
- 1851591051
- 1578604708