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

Peter Charles Cusimano, LAADC, MATS, SAP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1124398987

Peter Charles Cusimano, LAADC, MATS, SAP is an Addiction (Substance Use Disorder) Counselor in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

999 W Taylor St Ste B
San Jose, CA 95126-1861
Phone: (650) 669-1578
Fax: (650) 648-1654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LR01660815 (CA)

Record details

NPI number1124398987
Entity typeIndividual (Type 1)
GenderMale
Credentials LAADC , MATS , SAP
Sole proprietorYes
NPI enumeratedJanuary 10, 2012
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024

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