Sequoia Behavioral Healthcare LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SEQUOIA BEHAVIORAL HEALTHCARE LLC

Practice address

107 Chelsey Drive
Unit 4
Media, PA 19063

Phone

(610) 891-9024

Fax

(610) 891-9699

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Hatti Shivumar, MD

Title

Ceo

Phone

(610) 891-9024

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen Dopf, PA-C

  • Psychiatry Physician
  • Media, PA
  • NPI 1255754347
  NPD (past)
• Lauren Sue Freidus Katz, M.D.

  • Psychiatry Physician
  • Swarthmore, PA
  • NPI 1528065687
  NPD (past)
• Frances Koblenzer, M.D.

  • Psychiatry Physician
  • Downingtown, PA
  • NPI 1598876930
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1396776969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CHELSEY DRIVE",
            "address_2": "UNIT 4",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "19063",
            "telephone_number": "610-891-9024",
            "fax_number": "610-891-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CHELSEY DRIVE",
            "address_2": "UNIT 4",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "19063",
            "telephone_number": "610-891-9024",
            "fax_number": "610-891-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA BEHAVIORAL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "SHIVUMAR",
        "authorized_official_first_name": "HATTI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-891-9024",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "847252",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Seltzer, MS, LPC
• Karen Ann Semcheski
• Marcy Jill Seminoff, LCSW
• John Senderak, MD
• Sonja Sepkowitz, PSYD
• Gina Marie Serago, DPT
• Serene Care Behavioral Health LLC
• Serenity Specialty Companions, LLC
• Serenity Wellness LLC
• Carl Richard Shafto, M.D.

• Psychiatry Physician in Media, PA
• Providers in Media, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.