STEP UP ON SECOND STREET, INC. (NPI# 1891825451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891825451 |
| Entity Type | Organization |
| Organization Name | STEP UP ON SECOND STREET, INC. |
| Other Organization Name | STEP UP ON SECOND STREET-FCCS PLUS |
| Practice Address |
3435 Ocean Park Blvd #207 Santa Monica CA 90405-3301 |
| Practice Telephone | 3103929474 |
| Practice Fax Number | 3103927341 |
| Mailing Telephone | 3103929474 |
| Mailing Fax Number | 3103927341 |
| Enumeration Date | 2007-03-06 |
| 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-FCCS Plus | 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 |
| 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 |
3435 OCEAN PARK BLVD #207 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90405-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285705384 | Lynn Kerew Chiropractic, A Professional Corporation | Chiropractor | 3435 Ocean Park Blvd, Suite 101, Santa Monica, CA 90405-3301 | 2006-11-11 |
| 1922612761 | Madelyn Ott | Student in an Organized Health Care Education/Training Program | 3435 Ocean Park Blvd, Santa Monica, CA 90405-3301 | 2020-08-31 |
| 1720625684 | Katie D Mortimer | Social Worker | 3435 Ocean Park Blvd, Santa Monica, CA 90405-3301 | 2019-12-10 |
| 1538635685 | Daniella Marcellus | Licensed Vocational Nurse | 3435 Ocean Park Blvd, Santa Monica, CA 90405-3301 | 2018-10-16 |
| 1649647553 | Optimal Performance Physical Therapy, PC | Physical Therapist | 3435 Ocean Park Blvd, #101, Santa Monica, CA 90405-3301 | 2015-08-26 |
| 1235395096 | Step Up On Second Act Program | Case Management | 3435 Ocean Park Blvd, Santa Monica, CA 90405-3301 | 2008-07-31 |
| 1861676637 | Nancy Martinez | Counselor | 3435 Ocean Park Blvd, #207, Santa Monica, CA 90405 | 2007-12-28 |
| 1639373608 | Matthew Wong | Physical Therapist | 3435 Ocean Park Blvd, #107, Santa Monica, CA 90405-3301 | 2007-06-13 |
| 1679693998 | Ana Sanchez | Counselor | 3435 Ocean Park Blvd, Suite 201, Santa Monica, CA 90405-3301 | 2007-03-30 |
| 1477693356 | Lilly T Koeff | Dentist | 3435 Ocean Park Blvd, S 205, Santa Monica, CA 90405 | 2007-02-08 |
| 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 | 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 | 90405 |
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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.