Step-by-Step Edu Play Programs

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSY23855 Issued in CA

Legal business name

STEP-BY-STEP EDU PLAY PROGRAMS

Practice address

1814 14TH St
203
Santa Monica, CA 90404-7028

Phone

(310) 409-5463

NPI assigned

Mar 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kearney N Visser, PH.D.NPI 1265508824

Title

Director of Behavior Intervention

Phone

(310) 409-5463

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kearney Nicole Visser, PHD

  • Clinical Child & Adolescent Psychologist
  • Los Angeles, CA
  • NPI 1265508824
  NPD (past) Authorized official

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1477829786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 14TH ST STE 203",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904047006",
            "telephone_number": "310-409-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 14TH ST",
            "address_2": "203",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904047028",
            "telephone_number": "310-409-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP-BY-STEP EDU PLAY PROGRAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "VISSER",
        "authorized_official_first_name": "KEARNEY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR OF BEHAVIOR INTERVENTION",
        "authorized_official_telephone_number": "310-409-5463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY23855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Step Up on Second
• Step Up on Second Act Program
• Step Up on Second Street, Inc.
• Step Up on Second Street, Inc.
• Step Up on Second Street, Inc.
• Katelyn Dow Stepanyan, M.D.
• Stephanie Yeung DDS PC
• Reem Nagui Stephanos, DDS
• Nicole Stephanou, MFTT
• Stephen C Berens, MD a Med. Corp.

• Community/Behavioral Health Agency in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Community/Behavioral Health Agency in California

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