Dr Heidi Gabriela Stark-bank, PHD is a medicare enrolled "Psychologist - Cognitive & Behavioral" provider in Gardena, California. She graduated from healthcare school in 2010 and has 15 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Ehab Yacoub Md Inc and her current practice location is
1225 W 190th St Ste 280, Gardena, California. You can reach out to her office (for appointments etc.) via phone at
(877) 515-8113.
Dr Heidi Gabriela Stark-bank is licensed to practice in California (license number PSY24810) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699065524.
Healthcare Provider's Profile
| Full Name | Dr Heidi Gabriela Stark-bank |
|---|
| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 15 Years |
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| Location | 1225 W 190th St Ste 280, Gardena, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Heidi Gabriela Stark-bank graduated from medical school in 2010
NPI Data:
- NPI Number: 1699065524
- Provider Enumeration Date: 04/12/2011
- Last Update Date: 08/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 4981822459
- Enrollment ID: I20210105003143
Medical Identifiers
Medical identifiers for Dr Heidi Gabriela Stark-bank such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699065524 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | PY0641 (Nevada) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | PY0641 (Nevada) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY24810 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY 6041 (Nevada) | Secondary |
| 103TC1900X | Psychologist - Counseling | PY0641 (Nevada) | Secondary |
| 103TH0004X | Psychologist - Health | PSY24810 (Nevada) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | PY0641 (Nevada) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | PSY24810 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ehab Yacoub Md Inc | 5092099523 | 125 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Heidi Gabriela Stark-bank is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Heidi Gabriela Stark-bank, PHD
Po Box 60193,
Las Vegas, NV 89160-0193
Ph: (858) 977-1878 | Dr Heidi Gabriela Stark-bank, PHD
1225 W 190th St Ste 280,
Gardena, CA 90248-4305
Ph: (877) 515-8113 |
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