MRS. ELLEN STARK LSW
NPI 1801169420
Psychologist - Rehabilitation in Las Vegas, NV

Active since February 13, 2012
4955 S DURANGO DR STE 207, LAS VEGAS, NV 89113(702) 650-6508(702) 893-9655 Get Directions Write a Review

NPPES record last updated: February 13, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Psychologist
  • Rehabilitation

About ELLEN STARK

This page provides the complete NPI Profile along with additional information for Ellen Stark, a provider established in Las Vegas, Nevada with a medical specialization in Psychologist, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1801169420 assigned on February 2012. The practitioner's primary taxonomy code is 103TR0400X with license number 44SL04303600 (NJ). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1801169420 Verify this NPI
Provider Name
MRS. ELLEN STARK LSW
Gender
Female
Entity Type
Individual
Location Address
4955 S DURANGO DR STE 207 LAS VEGAS, NV 89113
Location Phone
(702) 650-6508
Location Fax
(702) 893-9655
Mailing Address
4955 S DURANGO DR STE 207 LAS VEGAS, NV 89113
Mailing Phone
(702) 650-6508
Mailing Fax
(702) 893-9655
Is Sole Proprietor?
Yes
Enumeration Date
02-13-2012
Last Update Date
02-13-2012
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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 Rehabilitation

Taxonomy Code
103TR0400X
Type
Behavioral Health & Social Service Providers
License No.
44SL04303600
License State
NJ
Taxonomy Description
A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities.

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Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Psychologist (Rehabilitation)
4955 S DURANGO DR STE 207
LAS VEGAS, NV 89113
Psychologist
4955 S DURANGO DR STE 207
LAS VEGAS, NV 89113
Psychologist (Rehabilitation)
4955 S DURANGO DR STE 207
LAS VEGAS, NV 89113
Psychologist (Clinical Child & Adolescent)
4955 S DURANGO DR STE 207
LAS VEGAS, NV 89113
Psychologist (Rehabilitation)
4955 S DURANGO DR STE 207
LAS VEGAS, NV 89113
Psychologist (Clinical Child & Adolescent)
4955 S DURANGO DR STE 207
LAS VEGAS, NV 89113
Psychologist (Clinical Child & Adolescent)
4955 S DURANGO DR STE 207
LAS VEGAS, NV 89113
Psychologist (Rehabilitation)
4955 S DURANGO DR STE 207
LAS VEGAS, NV 89113
Psychologist (Rehabilitation)
4955 S DURANGO DR STE 207
LAS VEGAS, NV 89113
Social Worker (Clinical)
4955 S DURANGO DR STE 207
LAS VEGAS, NV 89113
Psychologist (Rehabilitation)
4955 S DURANGO DR STE 207
LAS VEGAS, NV 89113
Psychologist (Rehabilitation)
4955 S DURANGO DR STE 207
LAS VEGAS, NV 89113
Psychologist (Rehabilitation)
4955 S DURANGO DR STE 207
LAS VEGAS, NV 89113

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801169420, enumerated as an "individual" on February 13, 2012.

The provider is located at 4955 S DURANGO DR STE 207 LAS VEGAS, NV 89113 and the phone number is (702) 650-6508.

Psychologist with taxonomy code 103TR0400X and a focus in Rehabilitation.