Frederick Preston Stern, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

008673-1 Issued in NY

Practice address

50 W 77TH St
12B
New York, NY 10024-5116

Phone

(212) 874-4530

NPI assigned

May 4, 2008

Last updated

Aug 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1209859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218067200000",
    "number": "1255507893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W 77TH ST",
            "address_2": "12B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245116",
            "telephone_number": "212-874-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W 77TH ST",
            "address_2": "12B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245116",
            "telephone_number": "212-874-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "FREDERICK",
        "middle_name": "PRESTON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-04",
        "last_updated": "2008-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "008673-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Hoffman Stern, PH.D.
• Emily R Stern
• Eric Stern, M.D.
• Eric F Stern, D.P.M.
• Esme Stern
• Gloria Jean Stern, MD
• Hillary Gemma Stern, PSY.D.
• Izetta Siegal Stern, LCSW,BCD
• Jack Stern, MD
• Jeffrey M Stern, MD

• Clinical Psychologist in New York, NY
• Providers in New York, 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 Aug 7, 2008; 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.