Carolyn Sims Stern, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

60549017 Issued in WA

Practice address

400 E University Way
Student Medical and Counseling Clinic
Ellensburg, WA 98926-7502

Phone

(509) 963-1391

NPI assigned

Jun 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Valley Psychological Services

  • Psychologist
  • Ellensburg, WA
  • NPI 1356842785
  Medicare reassignment NPD
• Central Washington University Student Health Counseling and Wellness

  • Health Service Clinic/Center
  • Ellensburg, WA
  • NPI 1548460025
  NPD (past)

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1912380692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W 1ST AVE",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263002",
            "telephone_number": "509-201-1616",
            "fax_number": "844-755-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E UNIVERSITY WAY",
            "address_2": "STUDENT MEDICAL AND COUNSELING CLINIC",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989267502",
            "telephone_number": "509-963-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "CAROLYN",
        "middle_name": "SIMS",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "60549017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Brittany Stauffer
• Sasha Tani Stel-Ferguson, MA
• Lani Steltz, PHARMACIST
• Nicole R Stendell-Hollis, PHD, RDN
• Sydnee C Sterkel, LMP
• Annie Stickney
• Joshua Stierley, DNP, PMHNP
• Stillwater Counseling Services, LLC
• Annaliese Marie Stone, D.O.
• Sarah Key Storrs, O.D.

• Clinical Psychologist in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.