Organization Active NPI

Social Skills Training and Resources

  • Developmental Disabilities Clinic/Center
  • Pacific Grove, CA
National Provider Identifier
1407374333
Registry record updated Aug 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
SOCIAL SKILLS TRAINING AND RESOURCES
Practice address
157 Grand Ave Ste 205
Pacific Grove, CA 93950-2752
Phone
(831) 224-3811
NPI assigned
Aug 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2017

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

Authorized official

Name
Stacey AshtonNPI 1003069634
Title
Bcba
Phone
(831) 224-3811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

157 Grand Ave Ste 205
Pacific Grove, CA 93950-2752

Mailing address

121 1/2 Fountain Ave
Pacific Grove, CA 93950-2714

Other identifiers 1

IdentifierTypeStateIssuer
1003069634OtherWANPI

National Provider Directory

National Provider Directory

Locations

150 Fountain Ave
Ste 205
Pacific Grove, CA 93950
Phone (831) 224-3811

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1407374333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 1/2 FOUNTAIN AVE",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939502714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 GRAND AVE STE 205",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939502752",
            "telephone_number": "831-224-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL SKILLS TRAINING AND RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A",
        "authorized_official_last_name": "ASHTON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "831-224-3811"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1003069634",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.