Individual provider Active NPI

Elizabeth Bennet Stern, M.D.

  • Psychiatry Physician
  • Cleveland Heights, OH
National Provider Identifier
1700959533
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35-062848 Issued in OH
Practice address
2460 Fairmount Blvd
Suite 210
Cleveland Heights, OH 44106-3171
Phone
(216) 229-0550
Fax
(216) 229-0552
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35-062848 OH Primary

Addresses

Primary practice location

2460 Fairmount Blvd
Suite 210
Cleveland Heights, OH 44106-3171

Mailing address

2460 Fairmount Blvd
Suite 210
Cleveland Heights, OH 44106-3171
Phone (216) 229-0550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 16, 2015 through Jun 16, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-062848OHMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700959533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 FAIRMOUNT BLVD",
            "address_2": "SUITE 210",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441063171",
            "telephone_number": "216-229-0550",
            "fax_number": "216-229-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 FAIRMOUNT BLVD",
            "address_2": "SUITE 210",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441063171",
            "telephone_number": "216-229-0550",
            "fax_number": "216-229-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "ELIZABETH",
        "middle_name": "BENNET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-062848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

Verify at the official NPI Registry.