Active NPI
Center for Social Cognition
Doing business as Mediated Learning LLC
- Behavior Analyst
- Irvine, CA
National Provider Identifier
1477817559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-10-6782
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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"
}
]
}
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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.