Charles R Stern PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301005261 Issued in MI

Legal business name

CHARLES R STERN PC

Practice address

18245 E 10 Mile Rd Ste 140
Roseville, MI 48066-5807

Phone

(248) 342-3644

Fax

(248) 258-6128

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Charles Stern, PH.DNPI 1952400848

Title

Owner/Psychologist

Phone

(248) 342-3644

Specialties & licenses 3

Addresses

Other names 2

• Charles R Stern PC Doing business as
• Intervisions PC Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles R Stern, PHD

  • Psychologist
  • Roseville, MI
  • NPI 1952400848
  Medicare reassignment NPD Authorized official
• Christopher C Nixon, LMSW

  • Clinical Social Worker
  • Eastpointe, MI
  • NPI 1023149218
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1730243262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 SHIPMAN BLVD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480094131",
            "telephone_number": "248-342-3644",
            "fax_number": "248-258-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18245 E 10 MILE RD STE 140",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665807",
            "telephone_number": "248-342-3644",
            "fax_number": "248-258-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES R STERN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-342-3644",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301005261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles R Stern PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Intervisions PC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Intervisions PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Psychologist in Roseville, MI
• Providers in Roseville, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.