Dr J Stern Psychological Services PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DR J STERN PSYCHOLOGICAL SERVICES PC

Practice address

6007 19TH Ave
Brooklyn, NY 11204-2337

Phone

(718) 234-2506

NPI assigned

Feb 4, 2019

Last updated

Nov 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Judah Stern, PH.DNPI 1649525304

Title

Owner

Phone

(347) 439-1145

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Enrollment records 2

Locations

Practitioners 6

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.

• Judah Stern, PH.D.

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1649525304

  Mental Health, NJ

  Medicare reassignment Care Compare group NPD Authorized official
• Zeva Adler Citronenbaum, LCSWR

  • Clinical Social Worker
  • Monsey, NY
  • NPI 1497995468
  Medicare reassignment Care Compare group NPD
• Elizabeth Lucille Hansen, MSW, LCSW

  • Clinical Social Worker
  • Hawthorne, NY
  • NPI 1659300648
  Medicare reassignment Care Compare group NPD
• Faina Solominskaya, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1063513935
  Medicare reassignment Care Compare group NPD
• Benjamin Halpern, LCSW

  • Clinical Social Worker
  • Lakewood, NJ
  • NPI 1245620996

  NY

  Medicare reassignment Care Compare group NPD
• Eli Palder Rosenblatt, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1871801712
  Medicare reassignment NPD

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1164987244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6007 19TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 19TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042337",
            "telephone_number": "718-234-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR J STERN PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "JUDAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-439-1145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.