Active NPI
Stephen Patterson Sturges, M.D.
- Child & Adolescent Psychiatry Physician
- Berkeley, CA
National Provider Identifier
1083817654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- G23900
- Practice address
- 2006 Dwight Way Ste 303
Berkeley, CA 94704-2633 - Phone
- (510) 548-1189
- Fax
- (510) 548-1189
- NPI assigned
- Jun 8, 2007
- Last updated
- Aug 15, 2007
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | G23900 | CA | Primary |
Addresses
Primary practice location
2006 Dwight Way Ste 303
Berkeley, CA 94704-2633
Mailing address
2006 Dwight Way Ste 303
Berkeley, CA 94704-2633
Phone (510) 548-1189
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2024 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G23900 | CA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187136000000",
"number": "1083817654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 DWIGHT WAY STE 303",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947042633",
"telephone_number": "510-548-1189",
"fax_number": "510-548-1189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 DWIGHT WAY STE 303",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947042633",
"telephone_number": "510-548-1189",
"fax_number": "510-548-1189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STURGES",
"first_name": "STEPHEN",
"middle_name": "PATTERSON",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-08",
"last_updated": "2007-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "G23900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.