Active NPI
Stern-Psychology P.C.
- Clinical Psychologist
- Oakland Gardens, NY
National Provider Identifier
1194906057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 005795
- Legal business name
- STERN-PSYCHOLOGY P.C.
- Practice address
- 21422 73Rd Ave
Oakland Gardens, NY 11364-2914 - Phone
- (718) 464-4444
- NPI assigned
- Nov 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marc B Sternberg, ED.D, FPPR,
- Title
- Persident
- Phone
- (718) 479-5220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 005795 | NY | Primary |
Addresses
Primary practice location
21422 73Rd Ave
Oakland Gardens, NY 11364-2914
Mailing address
8246 217TH St
Queens Village, NY 11427-1414
Phone (718) 479-5220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01619254 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
21422 73rd Ave
Oakland Gdns, NY 11364
Phone (718) 347-3500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371081600000",
"number": "1194906057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8246 217TH ST",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114271414",
"telephone_number": "718-479-5220",
"fax_number": "718-479-9787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21422 73RD AVE",
"city": "OAKLAND GARDENS",
"state": "NY",
"postal_code": "113642914",
"telephone_number": "718-464-4444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STERN-PSYCHOLOGY P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-20",
"last_updated": "2013-06-13",
"status": "A",
"authorized_official_last_name": "STERNBERG",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PERSIDENT",
"authorized_official_telephone_number": "718-479-5220",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ED.D, FPPR,"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "005795",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01619254",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland Gardens, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.