Provider Demographics
NPI:1235255076
Name:STEIN, BARRY STANLEY (MD)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:STANLEY
Last Name:STEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:946 JONES ST
Mailing Address - Street 2:#5
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-5155
Mailing Address - Country:US
Mailing Address - Phone:415-999-0305
Mailing Address - Fax:415-398-3075
Practice Address - Street 1:1730 OFARRELL ST
Practice Address - Street 2:#904
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3583
Practice Address - Country:US
Practice Address - Phone:415-999-0305
Practice Address - Fax:415-398-3075
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG811722084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
2546OtherCBHS INTERNAL USE ONLY-COMMERCIAL NUMBER
2546OtherSFGH INTERNAL USE ONLY