NICOLE STEPHANOU (NPI# 1154830479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154830479 |
| Entity Type | Individual |
| Full Name | NICOLE STEPHANOU |
| Credential | MFTT |
| Practice Address |
1020 Pico Blvd Santa Monica CA 90405-1416 |
| Practice Telephone | 3103146200 |
| Mailing Telephone | 31031462000 |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2017-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1020 PICO BLVD |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90405-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073804738 | Clare Matrix | Community/Behavioral Health | 1020 Pico Blvd, Santa Monica, CA 90405-1416 | 2011-04-28 |
| 1437666013 | Lauren Sobel | Licensed Vocational Nurse | 1020 Pico Blvd, Santa Monica, CA 90405-1416 | 2018-01-04 |
| 1104338359 | Jess J Granados | Technician, Other | 1020 Pico Blvd, Santa Monica, CA 90405-1416 | 2017-10-27 |
| 1609315753 | Holly Robertson | Counselor | 1020 Pico Blvd, Santa Monica, CA 90405-1416 | 2017-02-21 |
| 1275077000 | Richard Cortez II | Counselor | 1020 Pico Blvd, Santa Monica, CA 90405-1416 | 2016-12-13 |
| 1154864528 | Christopher Botten | Counselor | 1020 Pico Blvd, Santa Monica, CA 90405-1416 | 2016-12-02 |
| 1215487186 | Louis Deon Jones | Counselor | 1020 Pico Blvd, Santa Monica, CA 90405-1416 | 2016-10-04 |
| 1477946044 | Andrew Godoy | Counselor | 1020 Pico Blvd, Santa Monica, CA 90405-1416 | 2015-03-06 |
| 1861778458 | Silvia Prado | Social Worker | 1020 Pico Blvd, Santa Monica, CA 90405-1416 | 2011-10-26 |
| 1437435021 | Maritza Vasquez | Social Worker | 1020 Pico Blvd, Santa Monica, CA 90405-1416 | 2011-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699328476 | Nicole Ryan Harbeck | Marriage & Family Therapist | 2716 Ocean Park Blvd Ste 2007, Santa Monica, CA 90405 | 2019-07-19 |
| 1922664440 | Betty Ann Wise | Counselor | 1865 W. 9th Street, Santa Monica, CA 90405 | 2019-05-10 |
| 1790203776 | Ernest Jones Jr. | Counselor | 909 Pico Blvd., Santa Monica, CA 90405 | 2017-08-30 |
| 1285171371 | Jori Adler Marriage & Family Therapy Prof. Corp. | Marriage & Family Therapist | 3400 Airport Ave Ste 30, Santa Monica, CA 90405 | 2017-01-26 |
| 1376993147 | Damoan Corp. | Speech-Language Pathologist | 2801 Ocean Park Blvd Ste 393, Santa Monica, CA 90405 | 2016-06-13 |
| 1427410034 | Adam Rubio | Clinical Neuropsychologist | 1916 4th Street, Santa Monica, CA 90405 | 2016-03-23 |
| 1760852842 | Yramnna Smith | Behavioral Analyst | 2716 Ocean Park Blvd Ste 1025, Santa Monica, CA 90405 | 2015-10-01 |
| 1689086076 | Cheryl K. Baker | Community Health Worker | 1750 Ocean Park Blvd., Suite 206, Santa Monica, CA 90405 | 2014-05-20 |
| 1629409891 | Dominique M. Delvecchio | Nurse Practitioner | 2716 Ocean Park Blvd. Suite 3082, Institute for Nerve Medicine, Santa Monica, CA 90405 | 2013-12-12 |
| 1639512692 | Nancy Elizabeth Hyland | Marriage & Family Therapist | 1720 Ocean Park Blvd, Suite 200a, Santa Monica, CA 90405 | 2013-04-09 |
| Find all providers in zip 90405 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649705815 | Matthew Lamagna | Student in an Organized Health Care Education/Training Program | 1251 14th St Apt 213, Santa Monica, CA 90404-1026 | 2017-04-25 |
| 1003341314 | Deanna Dow | Student in an Organized Health Care Education/Training Program | 2021 10th St, Santa Monica, CA 90405-1303 | 2017-04-24 |
| 1467986356 | Monica Jain | Student in an Organized Health Care Education/Training Program | 937 18th St, #5, Santa Monica, CA 90403-3246 | 2017-04-18 |
| 1407205040 | Ryan Raouf | Student in an Organized Health Care Education/Training Program | 1007 12th St, Santa Monica, CA 90403-4205 | 2016-06-04 |
| 1679935944 | Peter Paul Hsiue | Student in an Organized Health Care Education/Training Program | 1250 16th St Ste 3142, Santa Monica, CA 90404-1249 | 2016-03-24 |
| 1598163909 | Jennifer Dinardi | Student in an Organized Health Care Education/Training Program | 2254 29th St Apt A, Santa Monica, CA 90405-2032 | 2014-12-17 |
| 1982005849 | Allegra Comas | Student in an Organized Health Care Education/Training Program | 2033 Euclid St Apt 2, Santa Monica, CA 90405-1501 | 2014-09-10 |
| 1659716876 | Eric Wirtschafter | Student in an Organized Health Care Education/Training Program | 236 Bay St Apt 7, Santa Monica, CA 90405-1073 | 2013-05-01 |
| 1619311610 | Anshula Odekar Shekar | Student in an Organized Health Care Education/Training Program | 1548 6th St Apt 506, Santa Monica, CA 90401-2879 | 2013-04-20 |
| 1770843666 | Andrea Kussman | Student in an Organized Health Care Education/Training Program | 1128 Ocean Park Blvd, Apt 209, Santa Monica, CA 90405-4763 | 2012-05-24 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90405 |
Please comment or provide details below to improve the information on NICOLE STEPHANOU.
| 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.