Active NPI
Stepping Forward Group LLC
- Adolescent and Children Mental Health Clinic/Center
- Irvine, CA
National Provider Identifier
1528519659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- STEPPING FORWARD GROUP LLC
- Practice address
- 15375 Barranca Pkwy
Suite B-101
Irvine, CA 92618-2217 - Phone
- (949) 333-1209
- Fax
- (949) 333-1208
- NPI assigned
- Oct 24, 2016
- Last updated
- Oct 24, 2016
- 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. Mitch Shaffer, PH.D , MFT
- Title
- Program Director
- Phone
- (949) 333-1209
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | CA | Primary |
Addresses
Primary practice location
15375 Barranca Pkwy
Suite B-101
Irvine, CA 92618-2217
Mailing address
15375 Barranca Pkwy
Suite B-101
Irvine, CA 92618-2217
Phone (949) 333-1209
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477267200000",
"number": "1528519659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15375 BARRANCA PKWY",
"address_2": "SUITE B-101",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182217",
"telephone_number": "949-333-1209",
"fax_number": "949-333-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15375 BARRANCA PKWY",
"address_2": "SUITE B-101",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182217",
"telephone_number": "949-333-1209",
"fax_number": "949-333-1208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPPING FORWARD GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-24",
"last_updated": "2016-10-24",
"status": "A",
"authorized_official_last_name": "SHAFFER",
"authorized_official_first_name": "MITCH",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "949-333-1209",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D , MFT"
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
- Antoinette Stepanian
- Stephan Yoon DMD Inc (Salt & Light Orthodontics)
- Michelle Ann Stephan, ND
- Stephanie Kua, MD Inc
- Stepping Forward Counseling Center, LLC (SFCC)
- Stepping Forward Group Professional (SFCC)
- Stepping Stones Home Care LLC
- Sterling Medical Products, Inc
- Melissa Sterling
- Steven C Luh, MD Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.