STEP UP ON SECOND STREET, INC. (NPI# 1649309469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649309469 |
| Entity Type | Organization |
| Organization Name | STEP UP ON SECOND STREET, INC. |
| Other Organization Name | STEP UP ON SECOND STREET DANIELS PLACE |
| Practice Address |
1619 Santa Monica Blvd Santa Monica CA 90404-1807 |
| Practice Telephone | 3103925855 |
| Practice Fax Number | 3104534817 |
| Mailing Telephone | 3103925855 |
| Mailing Fax Number | 3104534817 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2015-04-01 |
| 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 Daniels Place | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1831228626 | Step Up On Second Street, Inc. | Community/Behavioral Health | 1328 2nd St, Santa Monica, CA 90401-1122 | 2007-03-05 |
| 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 |
1619 SANTA MONICA BLVD |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235780313 | Eran Mcdonald | Community Health Worker | 1619 Santa Monica Blvd, Santa Monica, CA 90404-1807 | 2019-09-20 |
| 1194375790 | Tiera Watts | Case Manager/Care Coordinator | 1619 Santa Monica Blvd, Santa Monica, CA 90404-1807 | 2019-09-16 |
| 1841849726 | Bethany Rose Findlay | Case Manager/Care Coordinator | 1619 Santa Monica Blvd, Santa Monica, CA 90404-1807 | 2019-09-04 |
| 1033768858 | Tessa Candiotti | Counselor | 1619 Santa Monica Blvd, Santa Monica, CA 90404-1807 | 2019-09-04 |
| 1265099345 | Grant Stephen Robert Rehfeld | Community Health Worker | 1619 Santa Monica Blvd, Santa Monica, CA 90404-1807 | 2019-05-23 |
| 1093289696 | Nicole Warmsley | Community Health Worker | 1619 Santa Monica Blvd, Santa Monica, CA 90404-1807 | 2019-01-16 |
| 1073096350 | Christine Chavez | Counselor | 1619 Santa Monica Blvd, Santa Monica, CA 90404-1807 | 2018-09-12 |
| 1871075846 | Gina Francesca Regalbuto | Student in an Organized Health Care Education/Training Program | 1619 Santa Monica Blvd, Santa Monica, CA 90404-1807 | 2018-09-05 |
| 1952881633 | Janine Yvette Betts | Student in an Organized Health Care Education/Training Program | 1619 Santa Monica Blvd, Santa Monica, CA 90404-1807 | 2018-08-21 |
| 1093207300 | Alexandra Orput | Counselor | 1619 Santa Monica Blvd, Santa Monica, CA 90404 | 2018-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| 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 | 90404 |
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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.