SEBASTIAN FAMILY PSYCHOLOGY PRACTICE, LLC (NPI# 1619011046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619011046 |
| Entity Type | Organization |
| Organization Name | SEBASTIAN FAMILY PSYCHOLOGY PRACTICE, LLC |
| Practice Address |
5626 N 91st St Ste 301 Milwaukee WI 53225-2745 |
| Practice Telephone | 4144611088 |
| Practice Fax Number | 4144611049 |
| Mailing Telephone | 4144611088 |
| Mailing Fax Number | 4144611049 |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SEBASTIAN L SSEMPIJJA (CLINIC DIRECTOR) |
| Authorized Official Telephone | 4144611088 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | 1784-057 | WI | Behavioral Health & Social Service Providers |
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
1784-057 | WI | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
1784-057 | WI | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1784-057 | WI | Behavioral Health & Social Service Providers |
| X | 104100000X | Social Worker | 3079-123 | WI | Behavioral Health & Social Service Providers |
| X | 104100000X | Social Worker | 302-123 | WI | Behavioral Health & Social Service Providers |
| X | 104100000X | Social Worker | 160-123 | WI | Behavioral Health & Social Service Providers |
| X | 171R00000X | Interpreter | Other Service Providers | ||
| X | 104100000X | Social Worker | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42236700 | 05 |
| Street Address |
5626 N 91ST ST STE 301 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53225-2745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013153253 | Larry Anthony Spence | Counselor | 5626 N 91st St Ste 301, Milwaukee, WI 53225-2745 | 2008-12-17 |
| 1669636122 | Peter Ruta | Marriage & Family Therapist | 5626 N 91st St Ste 301, Milwaukee, WI 53225-2745 | 2008-07-14 |
| 1184847642 | Cher Vang | Counselor | 5626 N 91st St Ste 301, Milwaukee, WI 53225-2745 | 2007-04-11 |
| 1073736617 | Christine T O'donnell | Counselor | 5626 N 91st St Ste 301, Milwaukee, WI 53225-2745 | 2007-04-11 |
| 1831211101 | Sebastian Lukyamuzi Ssempijja | Psychologist | 5626 N 91st St Ste 301, Milwaukee, WI 53225-2745 | 2007-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194088682 | Waulonda Renee Williams | Registered Nurse | 5847 North 91st Street, Milwaukee, WI 53225 | 2012-06-19 |
| 1447519152 | Sandy Xiong | Licensed Practical Nurse | 5656 N 86th Place, Milwaukee, WI 53225 | 2012-05-15 |
| 1992939292 | Marzie Lee Satterwhite | Physical Therapy Assistant | 8534 W Mill Road, Milwaukee, WI 53225 | 2009-05-14 |
| 1538319157 | Katherine Monica Block | Speech-Language Pathologist | 5015 N. 106th St., Milwaukee, WI 53225 | 2008-09-19 |
| 1932329992 | Jennifer Marie Eggert | Speech-Language Pathologist | 9688 W Appleton Ave, Milwaukee, WI 53225 | 2007-05-01 |
| 1396830501 | Milwaukee Pain Treatment Services Sc | Anesthesiology | 5400 N 118th Court, Milwaukee, WI 53225 | 2006-10-04 |
| 1962518050 | Kenneth John Kowalski | Dentist | 4878 N Swan Road, Milwaukee, WI 53225 | 2006-08-22 |
| 1447290325 | Catherine Mae Jenkins | Registered Nurse | 5650 North 97th Street, Milwaukee, WI 53225 | 2006-06-07 |
| 1942249578 | David Irving Stein | Specialist | 5400 N 118tth Court, Milwaukee, WI 53225 | 2006-06-06 |
| 1720057482 | Herslof's, Inc | Optometrist | 12000 W Carmen Ave, Milwaukee, WI 53225 | 2006-03-15 |
| Find all providers in zip 53225 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095303 | Generational Cycles LLC | Psychologist | 2208 W Rohr Ave, Milwaukee, WI 53209-5057 | 2020-05-27 |
| 1396309076 | John Nathaniel Greene Jr. | Psychologist | 6100 N 42nd St, Milwaukee, WI 53209-3560 | 2019-04-27 |
| 1851889901 | Elliot L Broch | Psychologist | 3266 N 53rd St, Milwaukee, WI 53216-3248 | 2018-04-24 |
| 1457858573 | Nina Sathasivam-rueckert | Psychologist | Zablocki Va Medical Center 5000 West National Avenue, Milwaukee, WI 53295 | 2018-04-06 |
| 1043730864 | Venice Anderson | Psychologist | 5000 W National Ave Bldg 109, Milwaukee, WI 53295-0001 | 2017-06-22 |
| 1306230057 | Henry Boeh | Psychologist | 250 N. Sunnyslope Road, Suite 203, Milwaukee, WI 53213-3574 | 2015-03-19 |
| 1851794382 | Dr. Robert A Gruenberg | Psychologist | 6213 N Green Bay Ave., Milwaukee, WI 53209-3823 | 2014-09-29 |
| 1538590393 | Psychological Purposes LLC | Psychologist | 3229 S Adams Ave, Milwaukee, WI 53207-2705 | 2013-12-04 |
| 1568890150 | David Phelps | Psychologist | 401 E Kilbourn Ave, Suite 402, Milwaukee, WI 53202-3212 | 2013-10-17 |
| 1366788994 | Christina Mh Engn | Psychologist | 740 N Plankinton Ave Ste 334, Milwaukee, WI 53203-2403 | 2012-12-31 |
| Find all providers in MILWAUKEE | ||||
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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.