Individual provider Active NPI

Susan Jean Sabatini, NC #11008A

  • Marriage & Family Therapist
  • Charlotte, NC
National Provider Identifier
1104297076
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
11008A Issued in NC
Practice address
10801 Johnston Rd
Suite 107
Charlotte, NC 28226-4558
Phone
(704) 577-2747
NPI assigned
Oct 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 11008A NC Primary

Addresses

Primary practice location

10801 Johnston Rd
Suite 107
Charlotte, NC 28226-4558

Mailing address

5634 Strawberry Hill Dr
Apt a
Charlotte, NC 28211-4670
Phone (704) 577-2747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11008ANCMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1104297076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5634 STRAWBERRY HILL DR",
            "address_2": "APT A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114670",
            "telephone_number": "704-577-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 JOHNSTON RD",
            "address_2": "SUITE 107",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264558",
            "telephone_number": "704-577-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABATINI",
        "first_name": "SUSAN",
        "middle_name": "JEAN",
        "credential": "NC #11008A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "11008A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.