DR. KIMBERLY ANN STARK-SCHILLING (PSYD) – Clinical Child & Adolescent Psychologist, NPI 1770718629

DR. KIMBERLY ANN STARK-SCHILLING (PSYD) is a healthcare provider. based in Upper sandusky, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 6546 (OH). The NPI Number for DR. KIMBERLY ANN STARK-SCHILLING (PSYD) is 1770718629

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIMBERLY ANN STARK-SCHILLING (PSYD)
NPI
1770718629
Phone
(301) 461-9024
Address
8350 COUNTY HIGHWAY 134
Enumeration Date
21 May 2009
Last Update Date
5 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
1951625649
Group Practice PAC ID
7012815210
Professional Enrollment ID
I20150129001192
Address ID
OH433023704Ma136XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

Provider Addresses for DR. KIMBERLY ANN STARK-SCHILLING (PSYD)

  • 8350 COUNTY HIGHWAY 134

    UPPER SANDUSKY, OH 433519733

    Phone: (301) 461-9024

    Type: Location

  • 75, Clairedan Drive, Powell, Liberty Township, Delaware, Ohio, 43065, United States

    POWELL, OH 430658064

    Phone: (614) 396-5665

    Fax: (614) 396-5670

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-01-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150129001192IClinical PsychologistOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43351)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012815210View full group profile
NameSpecialtyState
-OH
Clinical Social WorkerOH
Internal MedicineKY
Nurse PractitionerOH
Nurse PractitionerOH
Internal MedicineOH
Clinical Social WorkerOH
Psychiatry, Addiction MedicineOH
Nurse PractitionerOH
-OH

Reviews

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Frequently asked questions

What is DR. KIMBERLY ANN STARK-SCHILLING (PSYD)'s NPI number?
DR. KIMBERLY ANN STARK-SCHILLING (PSYD)'s NPI is 1770718629 — the number used across U.S. healthcare to identify this provider.
Would DR. KIMBERLY ANN STARK-SCHILLING (PSYD) appear as active to a payer?
You can treat DR. KIMBERLY ANN STARK-SCHILLING (PSYD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. KIMBERLY ANN STARK-SCHILLING (PSYD)?
DR. KIMBERLY ANN STARK-SCHILLING (PSYD)'s record emphasizes Clinical Child & Adolescent Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. KIMBERLY ANN STARK-SCHILLING (PSYD)?
Directory geography for DR. KIMBERLY ANN STARK-SCHILLING (PSYD) centers on Upper Sandusky, Ohio.
When was this NPI issued?
Enumeration for DR. KIMBERLY ANN STARK-SCHILLING (PSYD) is noted as May 21, 2009 where the registry provides it.

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