STEP UP ON SECOND STREET, INC. (NPI# 1831228626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831228626 |
| Entity Type | Organization |
| Organization Name | STEP UP ON SECOND STREET, INC. |
| Other Organization Name | STEP UP ON SECOND STREET |
| Practice Address |
1328 2nd St Santa Monica CA 90401-1122 |
| Practice Telephone | 3103946889 |
| Practice Fax Number | 3103946883 |
| Mailing Telephone | 3103946889 |
| Mailing Fax Number | 3103946883 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2012-10-31 |
| Authorized Official Name | MR. TOD LIPKA (CEO) |
| Authorized Official Telephone | 3103946889 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Step Up on Second Street | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649309469 | Step Up On Second Street, Inc. | Community/Behavioral Health | 1619 Santa Monica Blvd, Santa Monica, CA 90404-1807 | 2007-03-05 |
| 1699079376 | Step Up On Second Street, Inc. | Community/Behavioral Health | 6762 Lexington Ave, Ste A, Los Angeles, CA 90038-1217 | 2011-01-10 |
| 1891825451 | Step Up On Second Street, Inc. | Community/Behavioral Health | 3435 Ocean Park Blvd, #207, Santa Monica, CA 90405-3301 | 2007-03-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STEP UP ON SECOND STREET, INC. | 1328 Second St, Santa Monica, CA 90401-1122 |
| Street Address |
1328 2ND ST |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90401-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518061266 | Heide Hamelberg | Psychologist | 1328 2nd St, Santa Monica, CA 90401-1122 | 2006-09-12 |
| 1275140238 | Saidy Amador | Case Manager/Care Coordinator | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-09-24 |
| 1194331983 | Claudia Lorena Orellana | Community Health Worker | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-09-17 |
| 1083220867 | Daniel Rodriguez | Community Health Worker | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-09-17 |
| 1114539392 | Melissa Meza | Case Manager/Care Coordinator | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-08-19 |
| 1760091896 | Crystal Corral Herrera | Case Manager/Care Coordinator | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-07-24 |
| 1215545132 | Sydney Fine | Case Manager/Care Coordinator | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-07-16 |
| 1437770344 | Claire Gordon | Counselor | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-05-01 |
| 1528606076 | Susan Anne Herbert | Counselor | 1328 2nd St, Santa Monica, CA 90401-1122 | 2019-12-16 |
| 1992343453 | Marlene Garcia | Case Manager/Care Coordinator | 1328 2nd St, Santa Monica, CA 90401-1122 | 2019-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013499458 | Franchesca Johnson Gordon | Marriage & Family Therapist | 900 Wilshire Blvd., Ste. 450, Santa Monica, CA 90401 | 2018-09-01 |
| 1629564083 | Michelle Jillian Dolinsky | Social Worker | 1243 7th St Ste C, Santa Monica, CA 90401 | 2018-07-09 |
| 1528507084 | Doctor Tlc, License Clinical Psychologist, Inc. | Community/Behavioral Health | 1242 Third St Promenade, Suite 208, Santa Monica, CA 90401 | 2017-02-16 |
| 1285006023 | Venessa Leeann Roca | Speech-Language Pathologist | 1218 6th Street, Santa Monica, CA 90401 | 2015-10-20 |
| 1720468036 | Stephen J. Kenneally | Marriage & Family Therapist | 610 Santa Monica Bvd, Ste. 201, Santa Monica, CA 90401 | 2015-06-02 |
| 1629458070 | Dominique L Robertson | Marriage & Family Therapist | 530 Wilshire, #310, Santa Monica, CA 90401 | 2015-06-01 |
| 1205252673 | Santa Monica Sports Medicine Inc. | Physical Medicine & Rehabilitation | 900 Wilshire Blvd. #410, Santa Monica, CA 90401 | 2014-03-10 |
| 1154675023 | Sherry Marie Martyn | Psychologist | 1242 3rd Street Promenade Ste 208, Santa Monica, CA 90401 | 2012-10-31 |
| 1700159829 | Gary Warburton | Dentist | 519 Arizona Ave., Santa Monica, CA 90401 | 2012-02-21 |
| 1265713036 | Aleksandr Mailyan | Reflexologist | 201 Wilshire Blvd #101, Santa Monica, CA 90401 | 2011-09-07 |
| Find all providers in zip 90401 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801407945 | Behavioral Health Services, Inc. | Community/Behavioral Health | 1424 4th St Ste 205, Santa Monica, CA 90401-2352 | 2020-08-12 |
| 1144797697 | Vista Del Mar Child and Family Services | Community/Behavioral Health | 601 Pico Blvd. Ad 508-513, Santa Monica, CA 90405-1224 | 2018-11-01 |
| 1528507084 | Doctor Tlc, License Clinical Psychologist, Inc. | Community/Behavioral Health | 1242 Third St Promenade, Suite 208, Santa Monica, CA 90401 | 2017-02-16 |
| 1063878510 | Clare Matrix | Community/Behavioral Health | 1002 Pico Blvd, Santa Monica, CA 90405-1416 | 2016-01-13 |
| 1003159203 | Step By Step Edu-play | Community/Behavioral Health | 1412 14th St, Santa Monica, CA 90404-2704 | 2013-04-05 |
| 1912242413 | Early Start Preschools | Community/Behavioral Health | 2505 Lincoln Blvd, Santa Monica, CA 90405-3817 | 2012-12-10 |
| 1376800722 | The People Concern | Community/Behavioral Health | 1749 14th St, Santa Monica, CA 90404-4342 | 2012-04-23 |
| 1477829786 | Step-by-step Edu Play Programs | Community/Behavioral Health | 1814 14th St, 203, Santa Monica, CA 90404-7028 | 2012-03-30 |
| 1376811992 | The People Concern | Community/Behavioral Health | 503 Olympic Blvd, Santa Monica, CA 90401-3311 | 2011-12-09 |
| 1073804738 | Clare Matrix | Community/Behavioral Health | 1020 Pico Blvd, Santa Monica, CA 90405-1416 | 2011-04-28 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.