Stem Cognitive and Psychological Rehabilitation, Inc.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

STEM COGNITIVE AND PSYCHOLOGICAL REHABILITATION, INC.

Practice address

1700 S Amphlett Blvd Ste 201
San Mateo, CA 94402-2717

Phone

(650) 549-1241

NPI assigned

Sep 4, 2019

Last updated

Jan 21, 2020By 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

Dr. Tiffanie Sim Wong, PHD

Title

Director

Phone

(650) 549-1241

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1497304224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S AMPHLETT BLVD STE 201",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022717",
            "telephone_number": "650-549-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S AMPHLETT BLVD STE 201",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022717",
            "telephone_number": "650-549-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEM COGNITIVE AND PSYCHOLOGICAL REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "TIFFANIE",
        "authorized_official_middle_name": "SIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "650-549-1241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA PSYCHOLOGY LICENSE",
            "identifier": "22759",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivana Steigman, PH.D.
• Scarlett O Stein
• Sharon Marie Stein, MD
• Kathryn Irene Steinbaugh, MFCC
• William Joseph Steiner, O.D.
• Dennis Scott Stempler, M.D
• Emily Pauline Stenson
• Kristin Stent, PHD
• Shant Stephanian, DO
• Stepping Stones Center for Autistic Spectrum Disorders, Inc,

• Clinical Neuropsychologist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.