Individual provider Active NPI

Cynthia Erica Stern, PHD, LMFT

  • Marriage & Family Therapist
  • Glendale, CA
National Provider Identifier
1891152070
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
106744 Issued in CA
Practice address
700 N Central Ave Ste 340
Glendale, CA 91203-4238
Phone
(818) 275-8411
NPI assigned
Jan 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 106744 CA Primary

Addresses

Primary practice location

700 N Central Ave Ste 340
Glendale, CA 91203-4238

Mailing address

9018 Balboa Blvd # 605
Northridge, CA 91325-2610
Phone (818) 275-8411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240229003282 CA Practitioner - Marriage and Family Therapist 8729423744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Endzone a Marriage and Family Therapy CorporationGroup PAC ID 3375988397, 10 clinicians

Practice addresses (Care Compare)

700 N Central Ave
Suite 340
Glendale, CA 91203-4238
Phone (818) 649-2921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
106744CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Endzone, a Marriage and Family Therapy Corporation CurrentSince Jan 24, 2024 Accepting new patients

Locations

700 N Central Ave
Ste 340
Glendale, CA 91203
Phone (818) 275-8411

9018 Balboa Blvd
Northridge, CA 91325
Phone (310) 683-0180

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1891152070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9018 BALBOA BLVD # 605",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913252610",
            "telephone_number": "818-275-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N CENTRAL AVE STE 340",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034238",
            "telephone_number": "818-275-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "CYNTHIA",
        "middle_name": "ERICA",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "106744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.