Active NPI
Rishon H Stember, M.D.
- Psychiatry Physician
- Norwalk, CT
National Provider Identifier
1669463592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 015884
- Practice address
- 91 East Avenue
Norwalk, CT 06851 - Phone
- (203) 853-3891
- Fax
- (203) 853-3892
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 15884 | CT | |
| Psychiatry Physician | 2084P0800X | 015884 | CT | Primary |
Addresses
Primary practice location
91 East Avenue
Norwalk, CT 06851
Mailing address
91 East Avenue
Norwalk, CT 06851
Phone (203) 853-3891
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1158849 | Medicaid | CT | |
| ZS287 | Other | CT | OXFORD |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015884 | CT | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1669463592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 EAST AVENUE",
"city": "NORWALK",
"state": "CT",
"postal_code": "06851",
"telephone_number": "203-853-3891",
"fax_number": "203-853-3892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 EAST AVENUE",
"city": "NORWALK",
"state": "CT",
"postal_code": "06851",
"telephone_number": "203-853-3891",
"fax_number": "203-853-3892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEMBER",
"first_name": "RISHON",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "CT",
"license": "15884",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "015884",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1158849",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "ZS287",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.