Active NPI
Rebecca Stern, PSY.D.
- Psychologist
- Philadelphia, PA
National Provider Identifier
1780925370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS017315
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PS017315 | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinical Psychologist
- Newtown, PA
- NPI 1336192780
-
- Clinical Psychologist
- Langhorne, PA
- NPI 1841767555
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.