Organization Active NPI

Stern-Psychology P.C.

  • Clinical Psychologist
  • Oakland Gardens, NY
National Provider Identifier
1194906057
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
005795 Issued in NY
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

Updated by the provider on Jun 13, 2013

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01619254MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.