Individual provider Active NPI

Thomas Babauta, MSW, ACSW,QCSW,IMFT

  • Marriage & Family Therapist
  • Hagatna, GU
National Provider Identifier
1437359841
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF-0054 Issued in GU
Practice address
222 E Chalan Santo Papa
Reflection Center Ste. 102
Hagatna, GU 96910-5161
Phone
(671) 477-5715
Fax
(671) 477-5716
NPI assigned
Jul 23, 2007
Last updated
Jul 23, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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 IMF-0054 GU Primary

Addresses

Primary practice location

222 E Chalan Santo Papa
Reflection Center Ste. 102
Hagatna, GU 96910-5161

Mailing address

222 E Chalan Santo Papa
Reflection Center Ste. 102
Hagatna, GU 96910-5161
Phone (671) 477-5715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMF-0054GUMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1437359841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E CHALAN SANTO PAPA",
            "address_2": "REFLECTION CENTER STE. 102",
            "city": "HAGATNA",
            "state": "GU",
            "postal_code": "969105161",
            "telephone_number": "671-477-5715",
            "fax_number": "671-477-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E CHALAN SANTO PAPA",
            "address_2": "REFLECTION CENTER STE. 102",
            "city": "HAGATNA",
            "state": "GU",
            "postal_code": "969105161",
            "telephone_number": "671-477-5715",
            "fax_number": "671-477-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABAUTA",
        "first_name": "THOMAS",
        "credential": "MSW, ACSW,QCSW,IMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GU",
            "license": "IMF-0054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagatna, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.