Active NPI
William R. Stern, PH.D.
- Clinical Psychologist
- Austin, TX
National Provider Identifier
1750584835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2-2266
- Legal business name
- WILLIAM R. STERN, PH.D.
- Practice address
- 15808 Ranch Road 620 N
Suite 212
Austin, TX 78717-4922 - Phone
- (512) 671-4400
- Fax
- (512) 671-4427
- NPI assigned
- Jun 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Russell Stern, PH.D.
- Title
- Owner
- Phone
- (512) 671-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2-2266 | TX | Primary |
Addresses
Primary practice location
15808 Ranch Road 620 N
Suite 212
Austin, TX 78717-4922
Mailing address
15808 Ranch Road 620 N
Suite 212
Austin, TX 78717-4922
Phone (512) 671-4400
National Provider Directory
National Provider DirectoryLocations
15808 Ranch Road 620 N
Ste 212
Austin, TX 78717
Phone (512) 419-1400
3305 Northland Dr
Ste 206
Austin, TX 78731
Phone (512) 671-4400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Austin, TX
- NPI 1376600106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1750584835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15808 RANCH ROAD 620 N",
"address_2": "SUITE 212",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787174922",
"telephone_number": "512-671-4400",
"fax_number": "512-671-4427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15808 RANCH ROAD 620 N",
"address_2": "SUITE 212",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787174922",
"telephone_number": "512-671-4400",
"fax_number": "512-671-4427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM R. STERN, PH.D.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STERN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "RUSSELL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-671-4400",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "2-2266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.