Individual provider Active NPI

Fernando Stern, MD PA

  • Psychiatry Physician
  • Hollywood, FL
National Provider Identifier
1770678575
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME26446 Issued in FL
Practice address
3700 Washington St Ste 304
Hollywood, FL 33021-8258
Phone
(954) 961-1500
Fax
(954) 961-7942
NPI assigned
Oct 4, 2006
Last updated
May 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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 ME26446 FL Primary

Addresses

Primary practice location

3700 Washington St Ste 304
Hollywood, FL 33021-8258

Mailing address

3700 Washington St Ste 304
Hollywood, FL 33021-8258
Phone (954) 961-1500

Other identifiers 1

IdentifierTypeStateIssuer
057442200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
ME26446FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Behavioral Health Center Inc Psychiatry PastSince Aug 1, 2007 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1770678575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON ST STE 304",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218258",
            "telephone_number": "954-961-1500",
            "fax_number": "954-961-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON ST STE 304",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218258",
            "telephone_number": "954-961-1500",
            "fax_number": "954-961-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "FERNANDO",
        "credential": "MD PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME26446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057442200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.