Stepping Stones Youth Facility

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

PY085 Issued in NV

Legal business name

STEPPING STONES YOUTH FACILITY

Practice address

2101 Agency Rd
Fallon, NV 89406-7142

Phone

(775) 423-1132

Fax

(775) 423-3503

NPI assigned

Jan 6, 2010

Last updated

Jan 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia E. Wachsmuth, AA

Title

Case Manager

Phone

(775) 423-1132

Specialties & licenses 1

Addresses

Other names 1

• Emergency Youth Shelter Other name

Tax ID family

Fallon Paiute Shoshone Tribe2 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.

• Fallon Paiute Shoshone Tribe

  • Case Manager/Care Coordinator
  • Fallon, NV
  • NPI 1649441502
  NPD tax ID

Locations

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1184954604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 AGENCY RD",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894067142",
            "telephone_number": "775-423-1132",
            "fax_number": "775-423-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 AGENCY RD",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894067142",
            "telephone_number": "775-423-1132",
            "fax_number": "775-423-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPPING STONES YOUTH FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "WACHSMUTH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "775-423-1132",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "AA"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NV",
            "license": "PY085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Youth Shelter",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Antoinette St. Amant
• Susan Louise Stark, LCSW
• Daniel Matthew Stasik, PA-C
• State of Nevada (Fallon Mental Health Centere)
• State of Nevada (Fallon Mental Health Center)
• Leslie Steve, M.A
• Steven E. Louie LLC (Core Physical Therapy)
• Raylene Dee Stiehl, RN
• Stillwater Center for Family Therapy
• Stillwater Tribal Senior Center

• Cognitive & Behavioral Psychologist in Fallon, NV
• Providers in Fallon, NV by specialty
• Cognitive & Behavioral Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.