Sebastian Family Psychology Practice, Llc
LBN: Sebastian Family Psychology Practice, Llc
Sebastian Family Psychology Practice, Llc is an health care organization with primary practice located at 6025 N Green Bay Ave , Glendale WI 53209-3811. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Interpreter, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Sebastian Family Psychology Practice, Llc can be contacted via phone (414) 247-0801, or through Ssempijja, Sebastian L via phone (414) 915-2967.
Contact Information
Primary practice address
6025 N Green Bay Ave
Glendale WI 53209-3811
Phone: (414) 247-0801
Fax: (414) 247-0816
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1784-057 | Wisconsin |
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 1784-057 | Wisconsin |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1784-057 | Wisconsin |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 1784-057 | Wisconsin |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 126576-121 | Wisconsin |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 3079-123 | Wisconsin |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 302-123 | Wisconsin |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 160-123 | Wisconsin |
Other Service Providers / Interpreter | 171R00000X | ||
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
NPI number | 1619011046 |
---|---|
LBN Legal business name | Sebastian Family Psychology Practice, Llc |
DBA Doing business as | |
Authorized official | Ssempijja, Sebastian L PHD |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 18th, 2007 |
Last updated | Jul 20th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619011046 | NPPES |
Wisconsin | MEDICAID | 42236700 |
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