SEBASTIAN FAMILY PSYCHOLOGY PRACTICE, LLC
SEBASTIAN FAMILY PSYCHOLOGY PRACTICE, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1619011046, based in Glendale, WI. The organization lists 7 taxonomy classifications, with Mental Health Clinic/Center (Including Community Mental Health Center) recorded as primary.
Getting there
The practice address on file is 6025 N GREEN BAY AVE, Glendale, WI 53209. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 1784-057 | WI | Cognitive & Behavioral Psychologist |
| 1784-057 | WI | Clinical Psychologist |
| 1784-057 | WI | Clinical Child & Adolescent Psychologist |
| 126576-121 | WI | Social Worker |
| 3079-123 | WI | Social Worker |
| 302-123 | WI | Social Worker |
| 160-123 | WI | Social Worker |
| 1784-057 | WI | Psychologist |
This provider holds licence 1784-057 issued in WI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Mental Health (Including Community Mental Health Center) covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QM0801X
All registered taxonomy codes
This provider registers 10 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) Mental Health (Including Community Mental Health Center) | — | — | primary |
| 103TB0200X | Cognitive & Behavioral Psychologist Cognitive & Behavioral | 1784-057 | WI | |
| 103TC0700X | Clinical Psychologist Clinical | 1784-057 | WI | |
| 103TC2200X | Clinical Child & Adolescent Psychologist Clinical Child & Adolescent | 1784-057 | WI | |
| 104100000X | Social Worker | 126576-121 | WI | |
| 104100000X | Social Worker | 3079-123 | WI | |
| 104100000X | Social Worker | 302-123 | WI | |
| 104100000X | Social Worker | 160-123 | WI | |
| 171R00000X | Interpreter | — | — | |
| 103T00000X | Psychologist | 1784-057 | WI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1619011046 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 18, 2007 |
| Last updated | Jul 20, 2023 |
| Status | Active |
| Practice address |
6025 N GREEN BAY AVE Glendale, WI 53209 (414) 247-0801 Fax (414) 247-0816 |
| Other identifiers |
42236700
· Medicaid (WI) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 1 | 9 | 0 | 1 | 1 | 0 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 2 | 9 | 0 | 1 | 2 | 0 | 8 |
Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.