Organization Active NPI

William R. Stern, PH.D.

  • Clinical Psychologist
  • Austin, TX
National Provider Identifier
1750584835
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2-2266 Issued in TX
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.