MEDICARE: STAR PSYCHOLOGY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center
2	103TS0200X	School Psychologist

General Provider Information

NPI Number	:	1346079845
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STAR PSYCHOLOGY, LLC

Provider Business Mailing Address
First Line	:	2258 COACHMAN LOOP
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33812-4047
Country	:	US
Telephone Number	:	954-882-5734
Fax Number	:

Provider Business Practice Location Address
First Line	:	4720 CLEVELAND HEIGHTS BLVD STE 201
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33813-2245
Country	:	US
Telephone Number	:	954-882-5734
Fax Number	:	863-225-8136

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SHEYTOPHIA R CUNHA
Credential	:	PSYD
Telephone Number	:	954-882-5734

Provider Enumeration Date	:	07/31/2024
Last Update Date	:	07/31/2024

Similar Medicare Providers

1992697957 — AMANI OVWIGHO
Practice Location Address:

4222 S FLORIDA AVE
LAKELAND, FL
33813-1628

Practice Phone: 863-456-7148
Practice Fax:

1598609257 — LUIS JAVIER SURI BRACERO
Practice Location Address:

213 RHEA CIR
LAKELAND, FL
33813-1068

Practice Phone: 863-209-2492
Practice Fax:

1356285761 — MRS. KARYN A SPENCER
Practice Location Address:

6700 S FLORIDA AVE STE 33
LAKELAND, FL
33813-3312

Practice Phone: 863-330-4097
Practice Fax: 863-337-4123

1922940311 — SONDRA ASTIAZARAIN
Practice Location Address:

454 W PIPKIN RD
LAKELAND, FL
33813-2545

Practice Phone: 863-619-2809
Practice Fax: 863-644-9590

1386586170 — CHRISTINA MARIE CLEMENTE
Practice Location Address:

4222 S FLORIDA AVE
LAKELAND, FL
33813-1628

Practice Phone: 863-456-7148
Practice Fax:

1801890462 — RUBEN D ADRIANO M.D.
Practice Location Address:

4710 S FLORIDA AVE
LAKELAND, FL
33813-2165

Practice Phone: 863-284-5000
Practice Fax: 863-284-6824

Directions to “STAR PSYCHOLOGY, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.