Provider Demographics
NPI:1609996941
Name:MCLAUGHLIN, STEVEN ALEXANDER (PHD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ALEXANDER
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 DEERWOOD RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-4445
Mailing Address - Country:US
Mailing Address - Phone:925-270-4499
Mailing Address - Fax:925-270-4499
Practice Address - Street 1:111 DEERWOOD RD STE 200
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-4445
Practice Address - Country:US
Practice Address - Phone:925-357-0788
Practice Address - Fax:925-270-4499
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY00856103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA170348OtherMHN
CACP8856AMedicare ID - Type Unspecified
CA00PL88560Medicare UPIN