Organization Active NPI

Center for Social Cognition

Doing business as Mediated Learning LLC

  • Behavior Analyst
  • Irvine, CA
National Provider Identifier
1477817559
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-10-6782 Issued in CA
Legal business name
CENTER FOR SOCIAL COGNITION
Doing business as
Mediated Learning LLC
Practice address
16 Technology Dr
Suite 100
Irvine, CA 92618-2355
Phone
(949) 788-9299
Fax
(949) 453-8118
NPI assigned
Jul 3, 2012
Last updated
Nov 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Dr. Karina Poirier, BCBA
Title
Director of Clinical Services
Phone
(949) 788-9299

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC28039 CA
Occupational Therapist 225X00000X OT 12699 CA
Behavior Analyst 103K00000X 1-10-6782 CA Primary

Addresses

Primary practice location

16 Technology Dr
Suite 100
Irvine, CA 92618-2355

Mailing address

16 Technology Dr
Suite 100
Irvine, CA 92618-2355
Phone (949) 788-9299

Other names 1

  • Mediated Learning LLC Doing business as

National Provider Directory

National Provider Directory

Locations

16 Technology Dr
Ste 100
Irvine, CA 92618
Phone (949) 788-9299

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1477817559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 TECHNOLOGY DR",
            "address_2": "SUITE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182355",
            "telephone_number": "949-788-9299",
            "fax_number": "949-453-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 TECHNOLOGY DR",
            "address_2": "SUITE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182355",
            "telephone_number": "949-788-9299",
            "fax_number": "949-453-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SOCIAL COGNITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "POIRIER",
        "authorized_official_first_name": "KARINA",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "949-788-9299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC28039",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 12699",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-10-6782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mediated Learning LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.