Individual provider Active NPI

Judah Stern, PH.D.

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1649525304
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
024864 Issued in NY
Practice address
6007 19TH Ave
Brooklyn, NY 11204-2337
Phone
(718) 234-2506
NPI assigned
Jul 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NY
Specialist 174400000X NY
Clinical Psychologist 103TC0700X 024864 NY Primary

Addresses

Primary practice location

6007 19TH Ave
Brooklyn, NY 11204-2337

Mailing address

6007 19TH Ave
Brooklyn, NY 11204-2337
Phone (718) 234-2506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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
I20230228000471 NY Practitioner - Clinical Psychologist 4183097868 Reassigns benefits to 3 organizations
I20240308002736 NJ Practitioner - Clinical Psychologist 4183097868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr J Stern Psychological Services PCGroup PAC ID 3274906953, 5 clinicians
Pesach Tikvah Hope Development IncGroup PAC ID 2163311564, 44 clinicians

Practice addresses (Care Compare)

1771 Madison Ave
Suite 8
Lakewood, NJ 08701-1267
Phone (718) 400-8825

6007 19TH Ave
Brooklyn, NY 11204-2337
Phone (718) 234-2506

926 Bedford Ave
Brooklyn, NY 11205-3913
Phone (718) 875-6900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hamaspik of Kings County CurrentSince Feb 2, 2023 Accepting new patients
Pesach Tikvah Hope Development Inc Mental Health CurrentSince Oct 24, 2024 Accepting new patients
Hamaspik of Kings County, Inc. CurrentSince Feb 2, 2023 Accepting new patients
Pesach Tikvah Hope Development Inc Mental Health CurrentSince Oct 24, 2024 Accepting new patients
JS Psychology Services-Ny PC Current Accepting new patients
Dr J Stern Psychological Services PC Mental Health CurrentSince Dec 14, 2022 Accepting new patients

Locations

1771 Madison Ave
Ste 8
Lakewood, NJ 08701
Phone (718) 400-8825

4102 14th Ave
Fl 2
Brooklyn, NY 11219
Phone (718) 387-8400

5417 18th Ave
Brooklyn, NY 11204
Phone (718) 234-2506

926 Bedford Ave
Brooklyn, NY 11205
Phone (718) 865-6900

365 Willoughby Ave
Ste 400
Brooklyn, NY 11205

5309 18th Ave
Brooklyn, NY 11204
Phone (718) 705-5190

Organizations & group practices 6

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": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1649525304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6007 19TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042337",
            "telephone_number": "718-234-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 19TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042337",
            "telephone_number": "718-234-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "JUDAH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-18",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "024864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.