George Alexander Stepanoff Jr., MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

107196 Issued in CA

Practice address

751 S Bascom Ave
San Jose, CA 95128-2604

Phone

(408) 885-5000

NPI assigned

Dec 20, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1790257343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 ANDREWS ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945516304",
            "telephone_number": "209-969-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 S BASCOM AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282604",
            "telephone_number": "408-885-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPANOFF",
        "first_name": "GEORGE",
        "middle_name": "ALEXANDER",
        "name_suffix": "Jr.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "107196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald William Stemmle, M.D.
• Monica Lynn Stemmle, MD
• Stemmle,Stemmle, Rose and Ahmed
• Savonna Stender-Bondesson, ASW
• Mi-Yung Yoon Stenfort, M.D.
• Stephanie B Loller DDS PC
• Stephanie Phan Le, D.O. Inc.
• Stephen Beveridge DDS Inc
• Alicia Stephen, RDT
• Dejaenique Stephens

• Marriage & Family Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.