Sebastian Family Psychology Practice, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SEBASTIAN FAMILY PSYCHOLOGY PRACTICE, LLC

Practice address

6025 N Green Bay Ave
Glendale, WI 53209-3811

Phone

(414) 247-0801

Fax

(414) 247-0816

NPI assigned

Feb 18, 2007

Last updated

Jul 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sebastian L Ssempijja, PHDNPI 1831211101

Title

Clinic Director

Phone

(414) 915-2967

Specialties & licenses 10

Addresses

Other identifiers 1

Tax ID family

Sebastian Family Psycholgy Practice3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Sebastian Family Psycholgy Practice

  • Professional Counselor
  • Glendale, WI
  • NPI 1124441373
  NPD tax ID
• Sebastian Family Psycholgy Practice

  • Mental Health Counselor
  • Glendale, WI
  • NPI 1316360092
  NPD tax ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sebastian Lukyamuzi Ssempijja, PHD

  • Psychologist
  • Milwaukee, WI
  • NPI 1831211101
  NPD (past) Authorized official
• Christine T O'Donnell, LCSW

  • Clinical Social Worker
  • Milwaukee, WI
  • NPI 1073736617
  NPD (past)
• Benjamin M Rader

  • Mental Health Counselor
  • Wauwatosa, WI
  • NPI 1114162187
  NPD (past)
• Peter Ruta

  • Marriage & Family Therapist
  • Milwaukee, WI
  • NPI 1669636122
  NPD (past)
• Larry Anthony Spence

  • Marriage & Family Therapist
  • Milwaukee, WI
  • NPI 1013153253

  Social Worker

  NPD (past)
• Cher Vang, PSYCHOTHERAPIST

  • Counselor
  • Milwaukee, WI
  • NPI 1184847642
  NPD (past)

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1619011046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 N GREEN BAY AVE",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532093811",
            "telephone_number": "414-247-0801",
            "fax_number": "414-247-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 N GREEN BAY AVE",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532093811",
            "telephone_number": "414-247-0801",
            "fax_number": "414-247-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBASTIAN FAMILY PSYCHOLOGY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-18",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "SSEMPIJJA",
        "authorized_official_first_name": "SEBASTIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "414-915-2967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WI",
            "license": "1784-057",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "WI",
            "license": "1784-057",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "1784-057",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "WI",
            "license": "1784-057",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "WI",
            "license": "126576-121",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "WI",
            "license": "3079-123",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "WI",
            "license": "302-123",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "WI",
            "license": "160-123",
            "primary": false
        },
        {
            "code": "171R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Interpreter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42236700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Sue Schuster, MSW
• SDS Health Care Inc
• Maria T Seaver, OTR
• Sebastian Family Psycholgy Practice
• Sebastian Family Psycholgy Practice
• Priyanshi Vikas Shah
• Regina Donnette Shaw
• Elizabeth Jane Shelton-Zielke, OT
• Sereen Shoubash
• Stephen Glenn Sievers, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Glendale, WI
• Providers in Glendale, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.