Organization Active NPI

Lifetime Neurodevelopmental Care Inc

  • Pediatrics Physician
  • Mill Valley, CA
National Provider Identifier
1790496560
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LIFETIME NEURODEVELOPMENTAL CARE INC
Practice address
655 Redwood Hwy Frontage Rd BLDG Suite225
Mill Valley, CA 94941-3034
Phone
(415) 952-6050
Fax
(415) 789-4516
NPI assigned
Dec 12, 2022
Last updated
Jul 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Authorized official

Name
Dr. Mary Steele, MDNPI 1437232592
Title
Cfo and Physician
Phone
(415) 952-6050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X Primary
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0402X

Addresses

Primary practice location

655 Redwood Hwy Frontage Rd BLDG Suite225
Mill Valley, CA 94941-3034

Mailing address

731 E Walnut St
Pasadena, CA 91101-1613
Phone (415) 952-6050

Other practice location 1

776 E Green St Ste 205
Pasadena, CA 91101-5405
Phone (415) 952-6050

National Provider Directory

National Provider Directory

Locations

655 Redwood Hwy Frontage Rd
Ste 225
Mill Valley, CA 94941

731 E Walnut St
Pasadena, CA 91101

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1790496560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 E WALNUT ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011613",
            "telephone_number": "415-952-6050",
            "fax_number": "415-789-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 REDWOOD HWY FRONTAGE RD BLDG SUITE225",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413034",
            "telephone_number": "415-952-6050",
            "fax_number": "415-789-4516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "776 E Green St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911015405",
            "country_code": "US",
            "telephone_number": "415-952-6050",
            "fax_number": "415-789-4516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFETIME NEURODEVELOPMENTAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CFO AND PHYSICIAN",
        "authorized_official_telephone_number": "415-952-6050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.