Julio E Sabater, PHD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Practice address

255 Main St Ste 206
Pawtucket, RI 02860-4026

Phone

(401) 327-2442

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Sabater Laboratory for Psychological Innovations Inc

  • Clinical Child & Adolescent Psychologist
  • Pawtucket, RI
  • NPI 1346615614
  NPD Authorized official
• Sabaterlab Foundation

  • Community/Behavioral Health Agency
  • Pawtucket, RI
  • NPI 1619546124
  NPD
• The Providence Center

  • Community/Behavioral Health Agency
  • Providence, RI
  • NPI 1134977598
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1043430549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41208",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029401208",
            "telephone_number": "401-327-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 MAIN ST STE 206",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604026",
            "telephone_number": "401-327-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABATER",
        "first_name": "JULIO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01465",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "1043430549",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SABATERLAB NPI",
            "identifier": "1346615614",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043430549",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Louis Russolello, DPT
• Bradley Ruszala
• Patricia Ryan, LCDP
• Sabater Laboratory for Psychological Innovations Inc
• Ivelisse Sabater, MED
• Sabaterlab Foundation
• Sacred Wombanhood Birth Support Services LLC
• Safe Integration Works
• Paula Saldarriaga
• Louis Salera, MASTERS

• Clinical Child & Adolescent Psychologist in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Clinical Child & Adolescent Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.