Active NPI
Molly Stern
- Clinical Psychologist
- Brooklyn, NY
National Provider Identifier
1417812462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 005192
- Practice address
- 29 Saint Marks PL Apt 3
Brooklyn, NY 11217-4826 - Phone
- (617) 584-6060
- NPI assigned
- Dec 22, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
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 | 005192 | CT | Primary |
Addresses
Primary practice location
29 Saint Marks PL Apt 3
Brooklyn, NY 11217-4826
Mailing address
29 Saint Marks PL Apt 3
Brooklyn, NY 11217-4826
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005192 | CT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766361600000",
"number": "1417812462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 SAINT MARKS PL APT 3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112174826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 SAINT MARKS PL APT 3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112174826",
"telephone_number": "617-584-6060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "MOLLY",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-12-22",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "005192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.