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Ethan Stark, PSYD
NPI 1730607771 · Clinical Psychologist · Chicago, IL
Ethan Stark, PSYD is a Clinical Psychologist provider in Chicago, IL (NPI 1730607771).
Provider details
- NPI number
- 1730607771
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 071.010910 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3580 W Medill Ave Apt 2
Chicago, IL 60647-2440
Phone: (608) 335-6705
Street-level locationGet directions
Mailing address
70 S River St
Aurora, IL 60506-5185
Registry dates
- Enumerated
- 2017-08-30
- Last updated
- 2023-06-08
- Certified
- 2023-06-08
Frequently asked questions
- What is Ethan Stark's NPI number?
- Ethan Stark's National Provider Identifier (NPI) is 1730607771, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Stark's specialty?
- Ethan Stark is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Ethan Stark located?
- Ethan Stark's practice location on file with NPPES is 3580 W Medill Ave Apt 2, Chicago, IL 60647-2440.
- What is Ethan Stark's phone number?
- The practice phone number listed in the NPPES registry for Ethan Stark is (608) 335-6705.
- Is Ethan Stark's NPI active?
- Yes — Ethan Stark's NPI (1730607771) is active in the NPPES registry as of the last update on 2023-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.