Active NPI
Debbie Simms-Keeney MFT
- Exclusive Provider Organization
- Brentwood, CA
National Provider Identifier
1366829632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- A6412408
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.