Organization Active NPI

Stacey B. Foerstner, PHD, LLC

  • Psychologist
  • Willoughby Hills, OH
National Provider Identifier
1487339131
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
STACEY B. FOERSTNER, PHD, LLC
Practice address
34950 Chardon Rd Ste 202
Willoughby Hills, OH 44094-9162
Phone
(440) 477-1007
Fax
(440) 753-0148
NPI assigned
Jun 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
Stacey Brewster Foerstner, PHDNPI 1740200245
Title
Owner/Psychologist
Phone
(440) 477-1007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

34950 Chardon Rd Ste 202
Willoughby Hills, OH 44094-9162

Mailing address

34950 Chardon Rd Ste 202
Willoughby Hills, OH 44094-9162
Phone (440) 477-1007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230801002211 OH Part B Supplier - Clinic/Group Practice 9234590670 Receives reassigned benefits from 1 practitioner
Practice locations: Willoughby Hills, OH

National Provider Directory

National Provider Directory

Locations

4212 State Route 306
Ste 310
Willoughby, OH 44094
Phone (216) 284-0463

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1487339131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34950 CHARDON RD STE 202",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949162",
            "telephone_number": "440-477-1007",
            "fax_number": "440-753-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34950 CHARDON RD STE 202",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949162",
            "telephone_number": "440-477-1007",
            "fax_number": "440-753-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY B. FOERSTNER, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "FOERSTNER",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "BREWSTER",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "440-477-1007",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby Hills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.