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PETER CHARLES CUSIMANO LAADC, MATS, SAP
NPI 1124398987
Counselor - Addiction (Substance Use Disorder) in San Jose, CA

Active since January 10, 2012
999 W TAYLOR ST STE B, SAN JOSE, CA 95126(650) 669-1578(650) 648-1654 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peter Charles Cusimano Laadc, Mats, Sap NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER CHARLES CUSIMANO LAADC, MATS, SAP (NPI 1124398987) is an individual addiction (substance use disorder) provider in San Jose, California, licensed in California (LR01660815) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1124398987
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NamePETER CHARLES CUSIMANOCredential: LAADC, MATS, SAP
Location Address999 W TAYLOR ST STE BSan Jose, CA 95126-1861
Mailing Address3100 Stanley AveSanta Cruz, CA 95065-1909 · (650) 669-1578 · Fax (650) 326-1340
Phone(650) 669-1578
Fax(650) 648-1654
Sole ProprietorYes
Enumeration DateJanuary 10, 2012
Last NPPES UpdateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
✔ NPI 1124398987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · LR01660815
999 W TAYLOR ST STE B, San Jose, CA 95126
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Cusimano's NPI number?

The NPI number for Peter Cusimano is 1124398987. It was assigned to this individual provider in the NPPES registry on January 10, 2012.

Where is Peter Cusimano located?

Peter Cusimano practices at 999 W Taylor St Ste B, San Jose, CA 95126. The listed phone number is (650) 669-1578.

What is Peter Cusimano's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Peter Cusimano was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.