Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Heidi Gabriela Stark-Bank, PHD

Individual provider Mental Health Counselor · NPI 1699065524

Dr. Heidi Gabriela Stark-Bank, PHD is a Clinical Psychologist in Gardena, California. Qualified in 2010, 16 years ago. Practices with Ehab Yacoub MD Inc, a 175-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Nevada.

Years since qualifying
16
Licensed in
CA, NV
In the registry since
2011
Specialties on file
8
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1225 W 190th St Ste 280
Gardena, CA 90248-4305
Phone: (877) 515-8113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cognitive & Behavioral Psychologist (primary) Taxonomy 103TB0200X · Licence PSY24810 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence PY0641 (NV)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence PY0641 (NV)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY24810 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence PY 6041 (NV)
Counseling Psychologist Taxonomy 103TC1900X · Licence PY0641 (NV)
Health Psychologist Taxonomy 103TH0004X · Licence PSY24810 (NV)
Group Psychotherapy Psychologist Taxonomy 103TP2701X · Licence PY0641 (NV)

Record details

NPI number1699065524
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedApril 12, 2011
Last updated in NPPESAugust 17, 2025
Certification dateAugust 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Ehab Yacoub Md Inc — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Gardena