Active NPI
Scott V Sternhagen, PHD
- Clinical Psychologist
- Fargo, ND
National Provider Identifier
1821019043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 239
- Practice address
- 112 University Dr N
Suite 200
Fargo, ND 58102-4661 - Phone
- (701) 566-5272
- NPI assigned
- Jul 22, 2006
- Last updated
- Apr 21, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 239 | ND | Primary |
Addresses
Primary practice location
112 University Dr N
Suite 200
Fargo, ND 58102-4661
Mailing address
112 University Dr N
Suite 200
Fargo, ND 58102-4661
Phone (701) 566-5272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17790 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2902 W Main St
Suite 2
Rapid City, SD 57702-8174
Phone (605) 721-8822
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie St Johns | Past | Accepting new patients | |
| PSJ Acquisition LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Psychologist
- Rapid City, SD
- NPI 1578744504
-
- Clinical Psychologist
- Fargo, ND
- NPI 1851728471
-
- Psychiatric Hospital
- Fargo, ND
- NPI 1417901000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398038400000",
"number": "1821019043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 UNIVERSITY DR N",
"address_2": "SUITE 200",
"city": "FARGO",
"state": "ND",
"postal_code": "581024661",
"telephone_number": "701-566-5272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 UNIVERSITY DR N",
"address_2": "SUITE 200",
"city": "FARGO",
"state": "ND",
"postal_code": "581024661",
"telephone_number": "701-566-5272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERNHAGEN",
"first_name": "SCOTT",
"middle_name": "V",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2014-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ND",
"license": "239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "17790",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.