DR. ROHN TAYLOR STARK JR. PSY.D.
NPI 1902219850
Psychologist - Clinical in Los Angeles, CA

Active since June 09, 2014PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4929 WILSHIRE BLVD STE 510, LOS ANGELES, CA 90010(562) 904-3999 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 24, 2021, Jan 23, 2017, Jan 20, 2017 (3 updates tracked since 2017).

About Dr. Rohn Taylor Stark Jr. Psy.d. NPPES

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

DR. ROHN TAYLOR STARK JR. PSY.D. (NPI 1902219850) is an individual clinical provider in Los Angeles, California, licensed in California (PSY26386) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1902219850
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ROHN TAYLOR STARK JR.Credential: PSY.D.
Location Address4929 WILSHIRE BLVD STE 510Los Angeles, CA 90010-3820
Mailing AddressPo Box 18631San Jose, CA 95158-8631 · (808) 283-0716
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 9, 2014
Last NPPES UpdateJune 24, 20213 updates tracked since enumeration
NPPES CertifiedJune 24, 2021
NPI 1902219850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY26386
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X · License 26386 (CA)
4929 WILSHIRE BLVD STE 510, Los Angeles, CA 90010

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Rohn Taylor Stark Jr. Psy.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 ID9436375706
PECOS Enrollment IDI20140722001404
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.

Areas of Expertise CMS Part B claims 4

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.

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.
530 services528 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.
187 services170 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.
108 services100 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.
107 services106 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Psychiatric/Mental Health)
4929 WILSHIRE BLVD STE 510
LOS ANGELES, CA 90010
Psychologist (Clinical)
4929 WILSHIRE BLVD STE 510
LOS ANGELES, CA 90010
Psychologist (Clinical)
4929 WILSHIRE BLVD STE 510
LOS ANGELES, CA 90010
Psychologist
4929 WILSHIRE BLVD STE 510
LOS ANGELES, CA 90010
Psychologist (Clinical)
4929 WILSHIRE BLVD STE 510
LOS ANGELES, CA 90010
Psychologist
4929 WILSHIRE BLVD STE 510
LOS ANGELES, CA 90010
Psychologist
4929 WILSHIRE BLVD STE 510
LOS ANGELES, CA 90010
Clinical Nurse Specialist (Psychiatric/Mental Health)
4929 WILSHIRE BLVD STE 510
LOS ANGELES, CA 90010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rohn Stark's NPI number?

The NPI number for Rohn Stark is 1902219850. It was assigned to this individual provider in the NPPES registry on June 9, 2014.

Where is Rohn Stark located?

Rohn Stark practices at 4929 Wilshire Blvd Ste 510, Los Angeles, CA 90010. The listed phone number is (562) 904-3999.

What is Rohn Stark's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Rohn Stark enrolled in Medicare?

Yes. Rohn Stark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rohn Stark accept?

Health plans from Providence Health Plan list Rohn Stark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rohn Stark was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.