Deborah L Stern, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

M-12972 Issued in CA

Practice address

6360 W 5TH St
Los Angeles, CA 90048-4718

Phone

(323) 549-9479

Fax

(323) 549-9171

NPI assigned

Oct 16, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1487165650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11911 SAN VICENTE BLVD STE 353",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496611",
            "telephone_number": "310-613-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 W 5TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484718",
            "telephone_number": "323-549-9479",
            "fax_number": "323-549-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "M-12972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "M-12972",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Stern, MD
• Allison Stern
• Amber Stern, LAC
• Arkady Stern, M.D.
• Daniel William Feather Stern, MD
• Eliana Stern, MSW
• Jessica Stern, RPT
• John Martin Stern, MD
• Lisa Ann Stern, MFT
• Mitchell Stern

• Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.