DR. HEIDI GABRIELA STARK-BANK PH.D.
NPI 1699065524
Psychologist - Cognitive & Behavioral in Gardena, CA

Q: What is Heidi Stark-bank's NPI number?

The NPI number for Heidi Stark-bank is 1699065524. It was assigned to this individual provider in the NPPES registry on April 12, 2011. The provider is also known as Dr. Heidi Gabriela Stark Ph.D..

Q: What is Heidi Stark-bank's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Q: When was this NPI record last updated?

The NPPES record for Heidi Stark-bank was last updated on August 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 12, 2011PECOS EnrolledAccepts Medicare Assignment

1225 W 190TH ST STE 280, GARDENA, CA 90248(877) 515-8113 Get Directions Write a Review

NPPES record last updated: August 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 17, 2025, Jul 14, 2022, Jul 6, 2022 and 2 more (5 updates tracked since 2017).

On this page

About Dr. Heidi Gabriela Stark-bank Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HEIDI GABRIELA STARK-BANK PH.D. (NPI 1699065524) is an individual cognitive & behavioral provider in Gardena, California, licensed in California (PSY24810) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1699065524

Entity TypeIndividualFemale

Primary Taxonomy103TB0200X

Provider Legal NameDR. HEIDI GABRIELA STARK-BANKCredential: PH.D.

Location Address1225 W 190TH ST STE 280Gardena, CA 90248-4305

Mailing AddressPo Box 60193Las Vegas, NV 89160-0193 · (858) 977-1878 · Fax (702) 365-0602

Phone(877) 515-8113

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateApril 12, 2011

Last NPPES UpdateAugust 17, 20255 updates tracked since enumeration

NPPES CertifiedAugust 12, 2025

✔ NPI 1699065524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers

Taxonomy Code103TB0200X

Licenses✔ Licensed in CA · PSY24810✔ Licensed in NV · PY0641

Definition

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License PY0641 (NV)

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY24810 (CA), PY 6041 (NV)

Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License PY0641 (NV)

Also ListedPsychologist · HealthTaxonomy 103TH0004X · License PSY24810 (NV)

Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License PY0641 (NV)

1225 W 190TH ST STE 280, Gardena, CA 90248

Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Heidi Gabriela Stark Ph.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Heidi Gabriela Stark-bank Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981822459

PECOS Enrollment IDI20210105003143

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Heidi Stark-bank reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ehab Yacoub MD Inc.

Same address

Child & Adolescent Psychiatry

1225 W 190TH ST STE 280
Gardena, CA 90248

Reassigned Medicare billing, California enrollment
375 clinicians in this Medicare group

NPI 1417373713 (310) 515-8113

Perceptions Counseling Center Of Southern Nevada LLC

236 mi

Marriage & Family Therapist

3127 E WARM SPRINGS RD STE 300
Las Vegas, NV 89120

Reassigned Medicare billing, Nevada enrollment
11 clinicians in this Medicare group

NPI 1578970539 (702) 850-8700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

566 services105 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

132 services123 patients

Family psychotherapy with patient, 50 minutes 90847

Family psychotherapy is a 50-minute session where a therapist helps the patient and their family understand and manage mental health issues. It's a collaborative process that aims to improve communication, solve family problems, understand and handle special family situations, and create a better functioning home environment.

109 services37 patients

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

89 services24 patients

Psychiatric services complicated by communication factor 90785

Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.

29 services21 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JUAN CRISTOBAL RONDEAU MD

Psychiatry & Neurology (Psychiatry)