Stel, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

210047AP Issued in CA

Legal business name

STEL, LLC

Practice address

863 Francisco Blvd E Ste a
San Rafael, CA 94901-4782

Phone

(855) 925-5267

NPI assigned

Oct 3, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Robert Edward Mockley II

Title

Cio/Owner

Phone

(970) 366-0494

Specialties & licenses 1

Addresses

Other names 1

• A New Path Marin, LLC Other name

Tax ID family

A New Path2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Stel, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Carbondale, CO
  • NPI 1396289955
  NPD tax ID

Locations

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1013466952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 S MAIN ST STE A",
            "address_2": "#455",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264602",
            "telephone_number": "855-925-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 FRANCISCO BLVD E STE A",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949014782",
            "telephone_number": "855-925-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "MOCKLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CIO/OWNER",
        "authorized_official_telephone_number": "970-366-0494",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "210047AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A New Path Marin, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marianne Haissman Stefancic, LMFT
• Karen M Stein, MFT
• Mervyn R Stein, MD
• Robert J. Stein, DO
• Sara Arlyn Stein
• Pascale Goupillaud Stemmle
• Cynthia Smith Stephan, LMFT
• Steve Truman, DDS LLC
• Lauren Stevens, PHARMD, MPH
• Paul G. Stevens, MD

• Substance Use Disorder Rehabilitation Clinic/Center in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.