Individual provider Active NPI

Sabine O'Donnell, MA LMFT

  • Marriage & Family Therapist
  • Old Lyme, CT
National Provider Identifier
1396390787
Registry record updated Aug 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2101 Issued in CT
Practice address
3 Hillwood Rd E
Old Lyme, CT 06371-1416
Phone
(860) 388-8029
NPI assigned
Aug 3, 2019
Last updated
Aug 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2019

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 2101 CT Primary

Addresses

Primary practice location

3 Hillwood Rd E
Old Lyme, CT 06371-1416

Mailing address

3 Hillwood Rd E
Old Lyme, CT 06371-1416
Phone (860) 388-8029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20240327003418 CT Practitioner - Marriage and Family Therapist 1052758950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

80 Halls Rd
Suite 201
Old Lyme, CT 06371-1416
Phone (860) 388-8029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Sabine Odonnell LLC Marriage & Family Therapist CurrentSince Jan 8, 2024 Accepting new patients

Locations

80 Halls Rd
Ste 201
Old Lyme, CT 06371
Phone (860) 388-8029

80 Halls Rd
Ste 201
Old Lyme, CT 06371
Phone (860) 388-8029

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1564790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564790400000",
    "number": "1396390787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HILLWOOD RD E",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063711416",
            "telephone_number": "860-388-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HILLWOOD RD E",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063711416",
            "telephone_number": "860-388-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "SABINE",
        "name_prefix": "Ms.",
        "credential": "MA LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-03",
        "last_updated": "2019-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "2101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Lyme, CT

Sources for this page

Verify at the official NPI Registry.