Individual provider Active NPI

Lana M Stern, PH.D.

  • Counseling Psychologist
  • Coral Gables, FL
National Provider Identifier
1205004892
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY3769 Issued in FL
Practice address
1450 Madruga Ave
Suite 310
Coral Gables, FL 33146-3164
Phone
(305) 448-5006
Fax
(305) 663-5809
NPI assigned
Feb 15, 2008
Last updated
Feb 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PY3769 FL Primary

Addresses

Primary practice location

1450 Madruga Ave
Suite 310
Coral Gables, FL 33146-3164

Mailing address

1450 Madruga Ave
Suite 310
Coral Gables, FL 33146-3148
Phone (305) 448-5006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200511000121 FL Practitioner - Clinical Psychologist 2860569779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7600 SW 81St Ave
Miami, FL 33143-3945
Phone (305) 448-5006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Lana M Stern PHD PA Counseling CurrentSince Apr 21, 2008 Accepting new patients

Locations

1450 Madruga Ave
Ste 310
Coral Gables, FL 33146
Phone (305) 448-5006

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1205004892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 MADRUGA AVE",
            "address_2": "SUITE 310",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463148",
            "telephone_number": "305-448-5006",
            "fax_number": "305-663-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MADRUGA AVE",
            "address_2": "SUITE 310",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463164",
            "telephone_number": "305-448-5006",
            "fax_number": "305-663-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "LANA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY3769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.