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

Q: What is Anna Stark's NPI number?

The NPI number for Anna Stark is 1922137769. It was assigned to this individual provider in the NPPES registry on March 5, 2007. The provider is also known as Anna Rose Walton Heitz.

Q: What is Anna Stark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anna Stark was last updated on December 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

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: August 09, 2026.

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

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About Dr. Anna Stark Psy.d. NPPES

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

DR. ANNA STARK PSY.D. (NPI 1922137769) is an individual clinical provider in San Jose, California, licensed in California (PSY26387) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fremont.

NPPES Registry Identity

NPI1922137769

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ANNA STARKCredential: PSY.D.

Location Address1066 S WHITE RDSan Jose, CA 95127-3812

Mailing AddressPo Box 18631San Jose, CA 95158-8631

Phone(408) 729-9700

Sole ProprietorYes

Enumeration DateMarch 5, 2007

Last NPPES UpdateDecember 23, 20213 updates tracked since enumeration

NPPES CertifiedDecember 23, 2021

✔ NPI 1922137769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY26387

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.

1066 S WHITE RD, San Jose, CA 95127

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Other Names 1

Former Name (1)Anna Rose Walton Heitz

Secondary Practice Location 1

Location 11860 Mowry Ave Ste 400Fremont, CA 94538-1730 · Phone (510) 770-8040

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Anna Stark Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95127 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

$206.04 typical visit price

range $70.37 – $206.04

Typical copayment $51.51 (range $17.59 – $51.51)

Most-billed visit code 99205

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

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.

Other Providers at the Same Location NPPES 13

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

GUADALUPE CELALLOS SANCHEZ RDN

Dietitian, Registered