Active NPI
Carl Frank Sternberg, PH.D.
- Clinical Psychologist
- Boulder, CO
National Provider Identifier
1043713159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 881
- Practice address
- 1525 Spruce St Ste 102
Boulder, CO 80302-4256 - Phone
- (303) 938-8188
- NPI assigned
- Mar 14, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 881 | CO | Primary |
Addresses
Primary practice location
1525 Spruce St Ste 102
Boulder, CO 80302-4256
Mailing address
1750 30TH St Ste 1-212
Boulder, CO 80301-1029
Phone (303) 938-8188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 881 | Other | STATE OF COLORADO PSYCHOLOGIST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 881 | CO | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1043713159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 30TH ST STE 1-212",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011029",
"telephone_number": "303-938-8188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 SPRUCE ST STE 102",
"city": "BOULDER",
"state": "CO",
"postal_code": "803024256",
"telephone_number": "303-938-8188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERNBERG",
"first_name": "CARL",
"middle_name": "FRANK",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-14",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "881",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF COLORADO PSYCHOLOGIST LICENSE",
"identifier": "881",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.