Stellar Clinic Ca, PC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

STELLAR CLINIC CA, PC

Practice address

650 California St FL 7
San Francisco, CA 94108-2737

Phone

(628) 433-2505

NPI assigned

Jun 6, 2024

Last updated

Jun 6, 2024By 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

George Wang

Title

Chief Administrative Officer

Phone

(628) 433-2505

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Veronica Correa Perin, PH.D.

  • Clinical Psychologist
  • Oakland, CA
  • NPI 1386958049
  Medicare reassignment Care Compare group
• Patrick Michael Lockwood, PSYD

  • Clinical Psychologist
  • Agoura Hills, CA
  • NPI 1730595646
  Medicare reassignment Care Compare group
• Erica G Wilson, PH.D.

  • Cognitive & Behavioral Psychologist
  • Moreno Valley, CA
  • NPI 1962629071
  Medicare reassignment Care Compare group
• Salome Khalili Dubenetzky, PSYD

  • Clinical Psychologist
  • Newport Beach, CA
  • NPI 1588873848
  Medicare reassignment

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1649011255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N BARRANCA AVE # 4885",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CALIFORNIA ST FL 7",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941082737",
            "telephone_number": "628-433-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR CLINIC CA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "628-433-2505"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ira Steinman, MD
• Michael Alan Steinman, MD
• Richard J Stejskal, LCSW
• Stella Kim DDS, Inc. (SF Dental)
• Stella Nova Psychology, Inc
• Sylvia Stellmacher, MD
• Susan McMann Stemper, MSW, ASW
• Mary Jean Stempien, M.D.
• Shannon Roche Steneck
• Brenda Lilly Stengele, NP

• Counselor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.