Organization Active NPI

C. Miles Sterling Psy.D. PC

  • Clinical Psychologist
  • Grosse Pointe, MI
National Provider Identifier
1255457115
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301007663 Issued in MI
Legal business name
C. MILES STERLING PSY.D. PC
Practice address
702 Notre Dame St
Ste 101
Grosse Pointe, MI 48230-2105
Phone
(313) 343-6470
NPI assigned
Mar 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Christopher Miles Sterling, PSY.D.NPI 1821076795
Title
Owner
Phone
(313) 343-6470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301007663 MI Primary

Addresses

Primary practice location

702 Notre Dame St
Ste 101
Grosse Pointe, MI 48230-2105

Mailing address

702 Notre Dame St
Ste 101
Grosse Pointe, MI 48230-2105
Phone (313) 343-6470

Other identifiers 1

IdentifierTypeStateIssuer
0H24715OtherMIBCBSM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070426000268 MI Part B Supplier - Clinic/Group Practice 5193821833 Receives reassigned benefits from 1 practitioner
Practice locations: Grosse Pte Farms, MI

National Provider Directory

National Provider Directory

Locations

702 Notre Dame St
Ste 101
Grosse Pointe, MI 48230
Phone (313) 343-6470

21 Kercheval Ave
Ste 341
Grosse Pointe Farms, MI 48236
Phone (313) 343-6470

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255457115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 NOTRE DAME ST",
            "address_2": "STE 101",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482302105",
            "telephone_number": "313-343-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 NOTRE DAME ST",
            "address_2": "STE 101",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482302105",
            "telephone_number": "313-343-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. MILES STERLING PSY.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STERLING",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MILES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-343-6470",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301007663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0H24715",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.