Provider Demographics
NPI: | 1366991408 |
---|---|
Name: | PETER SEIMAS |
Entity type: | Organization |
Organization Name: | PETER SEIMAS |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | PASTORAL COUNSELOR |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | PETER |
Authorized Official - Middle Name: | PHILIP |
Authorized Official - Last Name: | SEIMAS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | PHD |
Authorized Official - Phone: | 408-590-5847 |
Mailing Address - Street 1: | 19925 STEVENS CREEK BLVD |
Mailing Address - Street 2: | SUITE 100 |
Mailing Address - City: | CUPERTINO |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 95014-2300 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 408-590-5847 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 19925 STEVENS CREEK BLVD |
Practice Address - Street 2: | SUITE 100 |
Practice Address - City: | CUPERTINO |
Practice Address - State: | CA |
Practice Address - Zip Code: | 95014-2300 |
Practice Address - Country: | US |
Practice Address - Phone: | 408-590-5847 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-09-30 |
Last Update Date: | 2020-07-29 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty | |
Yes | 101YP1600X | Behavioral Health & Social Service Providers | Counselor | Pastoral | Group - Multi-Specialty |
No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |
No | 251S00000X | Agencies | Community/Behavioral Health | Group - Multi-Specialty | |
No | 302R00000X | Managed Care Organizations | Health Maintenance Organization | Group - Multi-Specialty | |
No | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist | Cognitive & Behavioral | Group - Multi-Specialty |
No | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical | Group - Multi-Specialty |
No | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | Counseling | Group - Multi-Specialty |
No | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | Family | Group - Multi-Specialty |
No | 103TP2701X | Behavioral Health & Social Service Providers | Psychologist | Group Psychotherapy | Group - Multi-Specialty |
No | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | Addiction (Substance Use Disorder) | Group - Multi-Specialty |