Active NPI
Fernando Stern, MD PA
- Psychiatry Physician
- Hollywood, FL
National Provider Identifier
1770678575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME26446
- 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, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 057442200 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME26446 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miami Behavioral Health Center Inc | Psychiatry | Past | 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.
-
- Mental Health Counselor
- Coral Gables, FL
- NPI 1457319451
Psychiatry
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
- Stellar Health Services, LLC
- Joel Zachry Stengel, M.D.
- Eric R. Stepp, O.D.
- Stepping Stones Counseling and Wellness Center
- Sterling Emergency Services of Florida PA
- Gittel Stern
- Lisa Allison Stern
- Jack Sternlieb, M.D.
- Katherine Jane Sternlieb, RN
- Steven D. Feinzig D.C.,P.a. (Natural Life Chiropractic Center)
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.