Organization Active NPI

Debbie Simms-Keeney MFT

  • Exclusive Provider Organization
  • Brentwood, CA
National Provider Identifier
1366829632
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
A6412408 Issued in CA
Legal business name
DEBBIE SIMMS-KEENEY MFT
Practice address
8336 Brentwood Blvd
Brentwood, CA 94513-1113
Phone
(415) 710-2126
NPI assigned
May 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Poneva Hamlin, MA
Title
Marriage Family Therapist Intern
Phone
(415) 710-2126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X A6412408 CA Primary

Addresses

Primary practice location

8336 Brentwood Blvd
Brentwood, CA 94513-1113

Mailing address

8336 Brentwood Blvd
Brentwood, CA 94509
Phone (415) 710-2126

National Provider Directory

National Provider Directory

Locations

8336 Brentwood Blvd
Brentwood, CA 94513
Phone (415) 710-2126

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1366829632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8336 BRENTWOOD BLVD",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "94509",
            "telephone_number": "415-710-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8336 BRENTWOOD BLVD",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131113",
            "telephone_number": "415-710-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBBIE SIMMS-KEENEY MFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "HAMLIN",
        "authorized_official_first_name": "PONEVA",
        "authorized_official_title_or_position": "MARRIAGE FAMILY THERAPIST INTERN",
        "authorized_official_telephone_number": "415-710-2126",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "A6412408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.