Stepping Stones Center for Autistic Spectrum Disorders, Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

1A41040 Issued in CA

Legal business name

STEPPING STONES CENTER FOR AUTISTIC SPECTRUM DISORDERS, INC.

Practice address

3190 Clearview Way
Suite 103
San Mateo, CA 94402-3752

Phone

(650) 357-0571

NPI assigned

Feb 8, 2010

Organization subpart

No

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

Authorized official

Name

Vivian David-Nicolas

Title

Owner and Clinical Director

Phone

(650) 357-0571

Specialties & licenses 3

Addresses

Other identifiers 14

Tax ID family

Stepping Stones Center for Autistic Spectrum Disorders Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Stepping Stones Center for Autistic Spectrum Disorders, Inc,

  • Behavior Analyst
  • San Mateo, CA
  • NPI 1023432218
  NPD tax ID

Practitioners 1

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

• Deborah Van Tuyl, BCBA

  • Behavior Analyst
  • Concord, CA
  • NPI 1134569171
  NPD (past)

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1669704177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 CLEARVIEW WAY",
            "address_2": "SUITE 103",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023752",
            "telephone_number": "650-357-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 CLEARVIEW WAY",
            "address_2": "SUITE 103",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023752",
            "telephone_number": "650-357-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPPING STONES CENTER FOR AUTISTIC SPECTRUM DISORDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "DAVID-NICOLAS",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "OWNER AND CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "650-357-0571"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1084557",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP11976",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "1A41040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED BEHAVIOR ANALYST",
            "identifier": "1000357",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED BEHAVIOR ANALYST",
            "identifier": "1118412",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYD",
            "identifier": "18968",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONPUBLIC AGENCY CERTIFICATION",
            "identifier": "1A41040",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE AND FAMILY THERAPIST",
            "identifier": "MFC 33929",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED BEHAVIOR ANALYST",
            "identifier": "1084557",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED BEHAVIOR ANALYST",
            "identifier": "1119431",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED BEHAVIOR ANALYST",
            "identifier": "1118273",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH-LANGUAGE PATHOLOGIST",
            "identifier": "SP 11976",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST",
            "identifier": "OT 1228",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED BEHAVIOR ANALYST",
            "identifier": "1073329",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED BEHAVIOR ANALYST",
            "identifier": "11312944",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSY",
            "identifier": "20372",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "LCS 19378",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Scott Stempler, M.D
• Emily Pauline Stenson
• Kristin Stent, PHD
• Shant Stephanian, DO
• Stepping Stones Center for Autistic Spectrum Disorders, Inc,
• Lori Sterling, RN, PHN
• Steve Kinstler Marriage and Family Therapist, Inc.
• Steven Machtinger MD & Associates Inc
• Michael Popkin Stevens, M.D.
• Virginia Lee Stewart, LCSW

• Early Intervention Provider Agency in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Early Intervention Provider Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.