Irene M Stern, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

012946-1 Issued in NY

Practice address

520 Cedar St
Ocdmh Day Treatment Program for Children
Syracuse, NY 13210-2302

Phone

(315) 435-7761

Fax

(315) 435-7715

NPI assigned

Nov 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Onondaga County Department of Mental Health

  • Adolescent and Children Mental Health Clinic/Center
  • Syracuse, NY
  • NPI 1912179292
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710066394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 WESTMORELAND AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132103446",
            "telephone_number": "315-435-7761",
            "fax_number": "315-435-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 CEDAR ST",
            "address_2": "OCDMH DAY TREATMENT PROGRAM FOR CHILDREN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102302",
            "telephone_number": "315-435-7761",
            "fax_number": "315-435-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "IRENE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012946-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Bybee Stepp, M.A.
• Annice Sterling
• Jasmine Sterling, LPN
• Tamela Sterling
• Callison May Stern
• Roksolana Stets, DDS
• Randall Stetson, LCSW
• Lauren C Stetzel, MSW
• Sarah Steurer
• Angela Marie Stevens, LMSW

• Clinical Psychologist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.