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:
Map and Directions
Authorized official contact:
Name: Ssempijja, Sebastian L PHD
Phone: (414) 915-2967

Health care specialties

SpecialtyCodeLicense #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 3 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619011046 NPPES
Wisconsin MEDICAID 42236700

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