Individual provider Active NPI

Arlie Graham Sterling IV, PH.D.

  • Clinical Psychologist
  • Boston, MA
National Provider Identifier
1508260860
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY11712 Issued in MA
Practice address
84 State St
Boston, MA 02109-2202
Phone
(860) 694-4966
Fax
(877) 794-3529
NPI assigned
Oct 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Clinical Psychologist 103TC0700X PSY11712 MA Primary

Addresses

Primary practice location

84 State St
Boston, MA 02109-2202

Mailing address

PO Box 1595
Middletown, CT 06457-8095
Phone (860) 788-6404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, ME2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220513000574 MA Practitioner - Clinical Psychologist 1355730672 Reassigns benefits to 1 organization
I20240109002313 ME Practitioner - Clinical Psychologist 1355730672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medoptions of Maine LLCGroup PAC ID 8820374796, 15 clinicians
Meditelecare of Massachusetts, PLLCGroup PAC ID 8921417064, 14 clinicians

Practice addresses (Care Compare)

2 Footbridge Rd
Belfast, ME 04915-7206
Phone (860) 788-6404

84 State St
Boston, MA 02109-2202
Phone (860) 788-6404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY11712MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Meditelecare of Massachusetts, PLLC Clinical CurrentSince Feb 3, 2022 Accepting new patients
Medoptions of Maine, LLC Clinical CurrentSince Dec 26, 2023 Accepting new patients

Locations

84 State St
Boston, MA 02109
Phone (855) 777-2244

45 Memorial Cir
Augusta, ME 04330
Phone (855) 270-3624

23 Cedar Ridge Dr
Skowhegan, ME 04976
Phone (207) 474-9686

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1508260860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064578095",
            "telephone_number": "860-788-6404",
            "fax_number": "877-794-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 STATE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021092202",
            "telephone_number": "860-694-4966",
            "fax_number": "877-794-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERLING",
        "first_name": "ARLIE",
        "middle_name": "GRAHAM",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-15",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "PSY11712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.