Organization Active NPI

Christina Stern Nurse Practitioner in Psychiatry P.C.

  • Psychiatric/Mental Health Nurse Practitioner
  • East Setauket, NY
National Provider Identifier
1023781499
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CHRISTINA STERN NURSE PRACTITIONER IN PSYCHIATRY P.C.
Practice address
290 Main St
East Setauket, NY 11733-2871
Phone
(631) 275-6694
Fax
(631) 751-3082
NPI assigned
Jul 30, 2021
Last updated
Jul 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Christina Stern, NPNPI 1518452390
Title
Owner
Phone
(631) 275-6694

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

290 Main St
East Setauket, NY 11733-2871

Mailing address

9 Sesame St
Kings Park, NY 11754-2835
Phone (631) 275-6694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210813001143 NY Part B Supplier - Clinic/Group Practice 4284038191 Receives reassigned benefits from 2 practitioners
Practice locations: Hauppauge, NY

National Provider Directory

National Provider Directory

Locations

290 Main St
East Setauket, NY 11733
Phone (631) 275-6694

111 Smithtown Byp
Ste 204
Hauppauge, NY 11788
Phone (631) 275-6694

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1023781499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SESAME ST",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542835",
            "telephone_number": "631-275-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MAIN ST",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117332871",
            "telephone_number": "631-275-6694",
            "fax_number": "631-751-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINA STERN NURSE PRACTITIONER IN PSYCHIATRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-275-6694",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.