Individual provider Active NPI

Harris W Stern, PHD

  • Psychologist
  • Philadelphia, PA
National Provider Identifier
1649271719
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS006075L Issued in PA
Practice address
2200 Benjamin Franklin Pkwy
E105
Philadelphia, PA 19130-3601
Phone
(610) 331-9661
Fax
(215) 563-2616
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS006075L PA Primary

Addresses

Primary practice location

2200 Benjamin Franklin Pkwy
E105
Philadelphia, PA 19130-3601

Mailing address

2200 Benjamin Franklin Pkwy
W1914
Philadelphia, PA 19130-3601
Phone (610) 331-9661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS006075LPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Parkway Psychotherapy Associates Psychologist Past Accepting new patients
Elderly Care Counseling Services LLC Psychologist Past Accepting new patients

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1649271719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BENJAMIN FRANKLIN PKWY",
            "address_2": "W1914",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303601",
            "telephone_number": "610-331-9661",
            "fax_number": "215-563-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BENJAMIN FRANKLIN PKWY",
            "address_2": "E105",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303601",
            "telephone_number": "610-331-9661",
            "fax_number": "215-563-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "HARRIS",
        "middle_name": "W",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS006075L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.