Individual provider Active NPI

Anne Stermock, PHD

  • Psychologist
  • Little Rock, AR
National Provider Identifier
1053401554
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
02-9P Issued in AR
Practice address
10025 W Markham St
Suite 210
Little Rock, AR 72205-1407
Phone
(501) 663-5473
Fax
(501) 801-1816
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 02-9P AR Primary

Addresses

Primary practice location

10025 W Markham St
Suite 210
Little Rock, AR 72205-1407

Mailing address

10025 W Markham St
Suite 210
Little Rock, AR 72205-1407
Phone (501) 663-5473

Other identifiers 1

IdentifierTypeStateIssuer
146777719MedicaidAR

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)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1053401554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10025 W MARKHAM ST",
            "address_2": "SUITE 210",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051407",
            "telephone_number": "501-663-5473",
            "fax_number": "501-801-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10025 W MARKHAM ST",
            "address_2": "SUITE 210",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051407",
            "telephone_number": "501-663-5473",
            "fax_number": "501-801-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERMOCK",
        "first_name": "ANNE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AR",
            "license": "02-9P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146777719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.