Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023197787 Individual Practitioner Female Practitioner

Dr. Ellen F. Stark , PhD

Psychologist - Cognitive & Behavioral • Mansfield, OH

Professional Overview & Biography Verified Profile Summary

Dr. Ellen Stark, PhD is a registered healthcare professional specializing in Psychologist - Cognitive & Behavioral in Mansfield, OH. Practice services are available at 1150 N MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1150 N Main St

Mansfield, OH 449039718

Telephone 4195254455

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Cognitive & Behavioral in Mansfield, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Mansfield, OH (34 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Cognitive & Behavioral Primary Specialty

NUCC Taxonomy Code: 103TB0200X

State License OH 5647

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Julio Airaldi , MD

Internal Medicine

NPI 1184978470

Doctor of Medicine (M.D.)

Harout Tabrizi

Counselor - Professional

NPI 1255876371
NPI 1437491537

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 21, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 21, 2009

Registered at 1150 N MAIN ST, MANSFIELD, OH 449039718 (Tel: 4195254455)

📍
Updated Business Mailing Address September 21, 2009

Registered at 1150 N MAIN ST, MANSFIELD, OH 449039718 (Tel: 3303343450)

👤
Provider Name / Credentials Updated September 21, 2009

Recorded as ELLEN STARK, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2009

Psychologist (License #5647 in OH)

🟢
Initial NPI Registration & Enumeration November 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023197787
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2006
Last Update: September 21, 2009
Sole Proprietor: Yes

Mailing Address

1150 N Main St

Mansfield, OH 449039718

Phone: 3303343450

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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