DR. JARIS STERN (PH.D.) – Psychologist, NPI 1063548576

DR. JARIS STERN (PH.D.) is a healthcare provider. based in New albany, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 959 (OH). The NPI Number for DR. JARIS STERN (PH.D.) is 1063548576

Main info

Male
Sole Proprietor
54 Years Of Experience
Accepts Medicare Assignment
Name
DR. JARIS STERN (PH.D.)
NPI
1063548576
Phone
(614) 218-4071
Address
7641 ALPATH ROAD
Enumeration Date
26 February 2007
Last Update Date
21 February 2017

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9372280579
Graduation Year
1972 (54 years ago)
PAC ID
2264716182
Group Practice PAC ID
1052595402
Professional Enrollment ID
I20170324001739
Address ID
OH454201833DA2611XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

Provider Addresses for DR. JARIS STERN (PH.D.)

  • 7641 ALPATH ROAD

    NEW ALBANY, OH 430549268

    Phone: (614) 218-4071

    Fax: (614) 218-4071

    Type: Mailing

  • 6495 E BROAD ST

    SUITE C

    COLUMBUS, OH 432131541

    Phone: (614) 322-9760

    Fax: (614) 322-9762

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-03-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170324001739IClinical PsychologistOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43054)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052595402View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
General PracticeOH
Nurse PractitionerOH
-OH
P S Y C H I A T R YOH
P S Y C H I A T R YOH
P S Y C H I A T R YOH
-OH
P S Y C H I A T R YOH

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Frequently asked questions

What NPI should I save for DR. JARIS STERN (PH.D.)?
Save NPI 1063548576 if you need a stable reference for DR. JARIS STERN (PH.D.).
Is DR. JARIS STERN (PH.D.) active in the national directory?
DR. JARIS STERN (PH.D.)'s public NPI profile is in an active state.
What field does DR. JARIS STERN (PH.D.) work in?
You can think of DR. JARIS STERN (PH.D.) as practicing within Psychologist. Clinical services aligned with this taxonomy classification.
Where is DR. JARIS STERN (PH.D.)'s primary listing?
We display New Albany, Ohio because that is what the record indicates for DR. JARIS STERN (PH.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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