Provider Demographics
NPI:1336436518
Name:SIMS, CATHY (CATC 101776)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:SIMS
Suffix:
Gender:F
Credentials:CATC 101776
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 PRICE AVE
Mailing Address - Street 2:STE. 201
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-1463
Mailing Address - Country:US
Mailing Address - Phone:650-366-8433
Mailing Address - Fax:650-366-8455
Practice Address - Street 1:609 PRICE AVE
Practice Address - Street 2:STE. 201
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1463
Practice Address - Country:US
Practice Address - Phone:650-366-8433
Practice Address - Fax:650-366-8455
Is Sole Proprietor?:No
Enumeration Date:2011-07-07
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC.A.T.C.101776101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)