Healthcare Provider Details

I. General information

NPI: 1467552067
Provider Name (Legal Business Name): MICHAEL L. STERN PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 OLD NEW MILFORD RD
BROOKFIELD CT
06804-2430
US

IV. Provider business mailing address

60 OLD NEW MILFORD RD
BROOKFIELD CT
06804-2430
US

V. Phone/Fax

Practice location:
  • Phone: 203-740-2900
  • Fax: 203-702-5096
Mailing address:
  • Phone: 203-740-2900
  • Fax: 203-702-5096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number775
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number775
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: