Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sebastian Family Psychology Practice, LLC

Organization Psychologist · NPI 1619011046

Sebastian Family Psychology Practice, LLC is a Psychologist in Glendale, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
10
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6025 N Green Bay Ave
Glendale, WI 53209-3811
Phone: (414) 247-0801
Fax: (414) 247-0816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Psychologist Taxonomy 103T00000X · Licence 1784-057 (WI)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence 1784-057 (WI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 1784-057 (WI)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence 1784-057 (WI)
Social Worker Taxonomy 104100000X · Licence 126576-121 (WI)
Social Worker Taxonomy 104100000X · Licence 3079-123 (WI)
Social Worker Taxonomy 104100000X · Licence 302-123 (WI)
Social Worker Taxonomy 104100000X · Licence 160-123 (WI)
Interpreter Taxonomy 171R00000X

Record details

NPI number1619011046
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sebastian Ssempijja — Clinic Director · (414) 915-2967
NPI enumeratedFebruary 18, 2007
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023
Mailing address6025 N Green Bay Ave, Glendale, WI 53209-3811

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