NPIMap

Organization Active NPI

Fredrika Stjarne

  • Psychoanalyst
  • New York, NY
National Provider Identifier
1629511167
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
000972 Issued in NY
Legal business name
FREDRIKA STJARNE
Practice address
15 W 12TH St
Apt 1 B
New York, NY 10011-8546
Phone
(917) 532-0687
NPI assigned
Dec 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Authorized official

Name
Fredrika Stjarne, MFA, LPNPI 1821622739
Title
Psychoanalyst
Phone
(917) 532-0687

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
PsychoanalystGroup: 193400000X SINGLE SPECIALTY GROUP 102L00000X 000972 NY Primary

Addresses

Primary practice location

15 W 12TH St
Apt 1 B
New York, NY 10011-8546

Mailing address

15 W 12TH St
Apt 1 B
New York, NY 10011-8546
Phone (917) 532-0687

National Provider Directory

National Provider Directory

Locations

15 W 12th St
Apt 1B
New York, NY 10011
Phone (646) 202-0910

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": "1480550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1629511167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W 12TH ST",
            "address_2": "APT 1 B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118546",
            "telephone_number": "917-532-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W 12TH ST",
            "address_2": "APT 1 B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118546",
            "telephone_number": "917-532-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDRIKA STJARNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-01",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "STJARNE",
        "authorized_official_first_name": "FREDRIKA",
        "authorized_official_title_or_position": "PSYCHOANALYST",
        "authorized_official_telephone_number": "917-532-0687",
        "authorized_official_credential": "MFA, LP"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "000972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.