Active NPI
Rhonda L Sabo, PSY.D.
- Clinical Psychologist
- Providence, RI
National Provider Identifier
1003955634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS00595
- Practice address
- 341 Broadway
Providence, RI 02909-1143 - Phone
- (401) 453-5100
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS00595 | RI | Primary |
| Clinical Psychologist | 103TC0700X | 7409 | MA |
Addresses
Primary practice location
341 Broadway
Providence, RI 02909-1143
Mailing address
341 Broadway
Providence, RI 02909-1143
Phone (401) 453-5100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2712-8 | Other | RI | BLUE CROSS BLUE SHIELD |
| 2004120103151177-001 | Other | MA | MAGELLAN |
| 01-73459 | Other | RI | UNITED HEALTHCARE |
| 410786 | Other | RI | BLUECHIP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051116001069 | RI | Practitioner - Clinical Psychologist | 1355360553 | Practice locations: Middletown, RI; Providence, RI |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
170 Aquidneck Ave
Middletown, RI 02842-7635
Phone (401) 619-3994
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7409 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easton Pond Chiropractic, Inc. | Past | Accepting new patients | |
| Mona R. Barbera, PH.D. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Middletown, RI
- NPI 1700250347
-
- Psychoanalysis Psychologist
- Providence, RI
- NPI 1902084379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003955634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 BROADWAY",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029091143",
"telephone_number": "401-453-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 BROADWAY",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029091143",
"telephone_number": "401-453-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABO",
"first_name": "RHONDA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "RI",
"license": "PS00595",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "7409",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2712-8",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "2004120103151177-001",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "01-73459",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHIP",
"identifier": "410786",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.