Active NPI
Robert Alan Stein, MPSYCH PSYCH MACP
- Psychoanalyst
- Sag Harbor, NY
National Provider Identifier
1073852620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 19 000837
- Practice address
- 17 Main St
Sag Harbor, NY 11963-3012 - Phone
- (631) 725-9499
- NPI assigned
- Feb 1, 2013
- Last updated
- Oct 4, 2015
- 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 |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 19 000837 | NY | Primary |
Addresses
Primary practice location
17 Main St
Sag Harbor, NY 11963-3012
Mailing address
7 Princeton Rd
Sag Harbor, NY 11963-2651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19 000837 | Other | NY | PSYCHOANALYST |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19 000837 | NY | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443916800000",
"number": "1073852620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 PRINCETON RD",
"city": "SAG HARBOR",
"state": "NY",
"postal_code": "119632651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 MAIN ST",
"city": "SAG HARBOR",
"state": "NY",
"postal_code": "119633012",
"telephone_number": "631-725-9499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEIN",
"first_name": "ROBERT",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "MPSYCH PSYCH MACP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-01",
"last_updated": "2015-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "19 000837",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOANALYST",
"identifier": "19 000837",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sag Harbor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.