Active NPI
William R. Stern, PH.D.
- Clinical Psychologist
- Austin, TX
National Provider Identifier
1417014234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2-2266
- Practice address
- 12710 Research Blvd
Ste 360
Austin, TX 78759-4396 - Phone
- (512) 671-4400
- Fax
- (512) 671-4427
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2-2266 | TX | Primary |
Addresses
Primary practice location
12710 Research Blvd
Ste 360
Austin, TX 78759-4396
Mailing address
12710 Research Blvd
Ste 360
Austin, TX 78759-4396
Phone (512) 671-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2-2266 | TX | MD | Clinical Psychologist |
| 22266 | TX | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271376000000",
"number": "1417014234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12710 RESEARCH BLVD",
"address_2": "STE 360",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787594396",
"telephone_number": "512-671-4400",
"fax_number": "512-671-4427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12710 RESEARCH BLVD",
"address_2": "STE 360",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787594396",
"telephone_number": "512-671-4400",
"fax_number": "512-671-4427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "WILLIAM",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2010-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "2-2266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.