DR. ANNA STARK PSY.D.
NPI 1922137769
Psychologist - Clinical in San Jose, CA

Q: What is the provider's specialty?

The provider's specialty is Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

Active since March 05, 2007PECOS Enrolled

1066 S WHITE RD, SAN JOSE, CA 95127(408) 729-9700 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 23, 2021, Jun 26, 2021, Jan 17, 2020 (3 updates tracked since 2020).

Table of Contents

NPI Profile Information
Primary Taxonomy
Secondary Locations
Medicare Participation & PECOS Status
Physician Visit Costs
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Psychologist
Clinical
PECOS Enrolled

About ANNA STARK

This page provides the complete NPI Profile along with additional information for Anna Stark, a provider established in San Jose, California with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1922137769 assigned on March 2007. The practitioner's primary taxonomy code is 103TC0700X with license number PSY26387 (CA). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI: 1922137769 Verify this NPI
Provider Name: DR. ANNA STARK PSY.D.
Other Name: ANNA ROSE WALTON HEITZ
Other Name Type: Former Name (1)
Gender: Female
Entity Type: Individual
Location Address: 1066 S WHITE RD SAN JOSE, CA 95127
Location Phone: (408) 729-9700
Mailing Address: PO BOX 18631 SAN JOSE, CA 95158
Is Sole Proprietor?: Yes
Enumeration Date: 03-05-2007
Last Update Date: 12-23-2021
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A clinical psychologist like Anna Stark assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Location Map

Secondary Locations

1860 Mowry Ave Ste 400
Fremont, CA 94538
(510) 770-8040

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 Clinical
Taxonomy Code: 103TC0700X
Type: Behavioral Health & Social Service Providers
License No.: PSY26387
License State: CA
Taxonomy Description: 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.

Medicare Participation & PECOS Enrollment Status

Anna Stark is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 95127 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

Average New Patient Price $206.04
Minimum New Patient Price $70.37
Maximum New Patient Price $206.04

Average New Patient Copayment $51.51
Minimum New Patient Copayment $17.59
Maximum New Patient Copayment $51.51

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $121.77
Minimum Established Patient Price $23.96
Maximum Established Patient Price $169.6

Average Established Patient Copayment $30.44
Minimum Established Patient Copayment $5.99
Maximum Established Patient Copayment $42.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.