Marcia Ilene Stern, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

68013091 Issued in NY

Practice address

1160 5TH Ave
Suite 112
New York, NY 10029-6928

Phone

(917) 583-2654

NPI assigned

Jul 9, 2009

Last updated

Jul 9, 2009By the provider in NPPES

Sex

Female

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": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1467681536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 5TH AVE",
            "address_2": "SUITE 112",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296928",
            "telephone_number": "917-583-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 5TH AVE",
            "address_2": "SUITE 112",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296928",
            "telephone_number": "917-583-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "MARCIA",
        "middle_name": "ILENE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "68013091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Stern, MSW
• Lawrence Stern, M.D.
• Leonard Stern, M.D.
• Leslie Stern, PH.D.
• Linda Stern
• Margaret Ewing Stern, M.D.
• Mariel Stern, LMSW
• Marla Toba Stern, MD
• Michael Stern, PH.D.
• Michael E. 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 Jul 9, 2009; 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.