Benjamin A Stepanoff, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY22896 Issued in CA

Practice address

17326 Edwards Rd
Suite 115
Cerritos, CA 90703-2443

Phone

(562) 921-5701

Fax

(562) 921-5703

NPI assigned

Sep 30, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advances in Mental Health and Addictions Treatment Inc 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advances in Mental Health and Addictions Treatment Inc

  • Clinical Psychologist
  • Long Beach, CA
  • NPI 1942529037

  CA

  Medicare reassignment Care Compare group
• Advances in Mental Health and Addictions Treatment, Inc

  • Cognitive & Behavioral Psychologist
  • Long Beach, CA
  • NPI 1770022238

  Cognitive & Behavioral

  NPD Authorized official
• Advances in Mental Health & Addictions Treatment Ctr

  • Adult Mental Health Clinic/Center
  • Long Beach, CA
  • NPI 1124529466
  NPD (past) Authorized official
• Alternative Options Counseling Center, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cerritos, CA
  • NPI 1689771628

  Clinical

  NPD (past)
• George W Bernier

  • Clinical Psychologist
  • Cerritos, CA
  • NPI 1609042357

  Cognitive & Behavioral

  NPD (past)

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254268800000",
    "number": "1700110285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17326 EDWARDS RD",
            "address_2": "SUITE 115",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032443",
            "telephone_number": "562-921-5701",
            "fax_number": "562-921-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17326 EDWARDS RD",
            "address_2": "SUITE 115",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032443",
            "telephone_number": "562-921-5701",
            "fax_number": "562-921-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPANOFF",
        "first_name": "BENJAMIN",
        "middle_name": "A",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY22896",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22896",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY22896",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis D. Steele, PHD.
• Lauren Steele
• Amy Marie Steiner
• Stellar Healthcare, Inc.
• Catherine Elizabeth Stepan, NP
• Naya Sterling
• Steve S Im MD Inc.
• Stephanie Stimson
• Kym Stone, L.C.S.W
• Erac Storm

• All providers in Cerritos, CA
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.