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General NPI Number Information
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NPI Number | 1720222995
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Entity Type | Individual
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Provider Name | MICHAEL JARED STERN PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 05/01/2009
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Last Update Date | 01/28/2011
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Provider Practice Location Address
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Address Line | 2094 ALBANY POST RD VA HUDSON VALLEY HCS (#620)
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City | MONTROSE
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State | NY
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Zip | 10548-1454
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Country | US
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Telephone | 914-737-4400
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Fax | 914-788-4866
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Provider Business Mailing Address
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Address Line | 50 GANUNG DR
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City | OSSINING
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State | NY
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Zip | 10562-3936
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Country | US
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Telephone | 828-390-5001
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3633
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 018657
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License Number State | NY
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