Individual provider Active NPI

Rebecca Stern, PSY.D.

  • Psychologist
  • Philadelphia, PA
National Provider Identifier
1780925370
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS017315 Issued in PA
Practice address
6814 Quincy St
Suite 1F
Philadelphia, PA 19119-2670
Phone
(919) 618-1154
NPI assigned
Mar 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS017315 PA Primary

Addresses

Primary practice location

6814 Quincy St
Suite 1F
Philadelphia, PA 19119-2670

Mailing address

6814 Quincy St
Suite 1F
Philadelphia, PA 19119-2670
Phone (919) 618-1154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130415000105 PA Practitioner - Clinical Psychologist 3476799610 Practice locations: Philadelphia, PA; Langhorne, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6703 Germantown Ave
Suite 200
Philadelphia, PA 19119-2109
Phone (919) 618-1154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS017315PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
LMF Psychological Services LLC Past Accepting new patients
Lynne J Freeman PSYD PC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1780925370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6814 QUINCY ST",
            "address_2": "SUITE 1F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192670",
            "telephone_number": "919-618-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6814 QUINCY ST",
            "address_2": "SUITE 1F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192670",
            "telephone_number": "919-618-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "REBECCA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.